NPI age
15 years
Enumerated 2010-12-06
● Active Type 2 · Organization
J.c. Lewis Primary Healthcare Center, Inc
J.c. Lewis Primary Healthcare Center, Inc is 1 of 462 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
7
6 secondary on file
Status
Active
No deactivations on record
Authorized official
Douse
Ceo
Last NPPES update
2024-09-06
Source: monthly bulk 2026-05
How this organization compares
Across 462 active clinic/center providers in Georgia.
NPI age
15 years
↑ 6 yr above median
Practice locations
7
6 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-12Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
5 Mall Anx
Savannah, GA 314064738
Mailing address
5 Mall Anx
Savannah, GA 314064738
Additional practice locations
6 secondary locations on file with NPPES.
Location 2
2414 Bull St
Savannah, GA 314019113
Location 3
1110 May St
Savannah, GA 314155470
Location 4
3100 Montgomery St
Savannah, GA 314053212
Location 5
3802 Waters Ave
Savannah, GA 314046210
Location 6
2414 Bull St
Savannah, GA 314019113
Location 7
5 Mall Anx
Savannah, GA 314064738
Authorized official
Rena Douse
Ceo
📞 9127216701
Individual providers at this organization
14 individual providers on file at this primary practice address.
- Victor Allen, PHARMD Pharmacist NPI 1306481510
- Kevin Camps, FNP-BC Nurse Practitioner NPI 1912630849
- Jamessa Cummings, PHARMD Pharmacist NPI 1780465195
- Rena Douse, DNP Nurse Practitioner NPI 1881220135
- Jennifer Forrest, FNP-C Nurse Practitioner NPI 1053207654
- Obioma Iwule, FNP Nurse Practitioner NPI 1942651872
- Shatara Jackson, LCSW Social Worker NPI 1033660949
- Sharee McKenzie, LMSW Social Worker NPI 1649992868
- Milen Patel, DMD Dentist NPI 1033788096
- Kearra Pettigrew, APRN, FNP Nurse Practitioner NPI 1568987451
- Myra Pope, M.D. General Practice NPI 1578779054
- Amanda Puentes, M.D. Pediatrics NPI 1558431288
- Regina Smith, MA Counselor NPI 1548348733
- Amethyst Wilder, MD Family Medicine NPI 1396168753
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003110256A | |
| 05 (GA) | 003122855A | |
| 05 (GA) | 003135130A | |
| 05 (GA) | 003104809A | |
| 05 (GA) | 003156658A | |
| 05 (GA) | 003122845A |
Practice context
Multi-provider organization. 14 individual providers on file at this primary address. Plus 6 secondary practice locations.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.