YANIQUE LATOYA LEWIS (FNP-C) – Family Nurse Practitioner, NPI 1003467275
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for YANIQUE LATOYA LEWIS (FNP-C)
1467 John Robert Dr Ste B
Morrow, GA 302601770
Phone: (770) 293-8050
Type: Location
5188 Edgemoor Dr
Norcross, GA 300714347
Phone: (770) 743-7011
Type: Location
1467, John Robert Drive, Woodstone, Morrow, Clayton County, Georgia, 30260, United States
MORROW, GA 302601770
Phone: (770) 293-8050
Type: Location
1498 KLONDIKE RD SW STE 106
CONYERS, GA 300945169
Phone: (770) 706-7260
Fax: (678) 413-1818
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $215.
Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($40).
Total Amount
$215
General + Research + Ownership
Payments
10
Total payment records
General Amount
$215
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201221001786 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30260)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| Nurse Practitioner | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA |
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