P Praxis·MD
● Active Type 1 · Individual

Larry Glen Lewis, MD

Pediatrics·Atlanta, GA· NPI 1699744722 · Enumerated 2006 · 20 years on NPI
Lewis is 1 of 36 pediatrics providers in Atlanta and 1 of 52 in Georgia.
NPI age
20 years
Enumerated 2006-03-14
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-03-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 52 active pediatrics providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
25% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Practice location
993 D Johnson Ferry Rd, Ste 440
Atlanta, GA 30342
📞 4042570799fax 4045032280
Mailing address
993 D Johnson Ferry Rd, Ste 440
Atlanta, GA 30342
📞 4042570799fax 4045032280

Specialties

  • Pediatrics Primary
    A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and...
    GA license #052357 taxonomy 2080P0206X

Identifiers

TypeValueNotes
01 2134940 AETNA HMO POS
01 5433953006 CIGNA
01 REF000087396 MEDICAID REFERENCE PROVID
01 000709497H MEDICAID PROVIDER NUMBER
01 52508068010 BLUE CHOICE PROVIDER ID
05 (GA) 000981901A
01 5757428 AETNA MC PPO PIN NUMBER
01 1422312 UNITED HEALTH CARE
01 080685 BLUE CHOICE FAC INSURANCE
01 1789 KAISER

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new pediatrics provider has been added in Atlanta in the last 180 days. See all →
Provyx · Custom healthcare lists

Need all 52 Pediatrics providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related