NPI age
20 years
Enumerated 2006-03-14
● Active
Type 1 · Individual
Larry Glen Lewis, MD
Lewis is 1 of 36 pediatrics providers in Atlanta and 1 of 52 in Georgia.
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
Mailing address
993 D Johnson Ferry Rd, Ste 440
Atlanta, GA 30342
Specialties
-
Pediatrics PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 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 →
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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