MRS. DORESEA L LEWIS (APRN) – Nurse Practitioner, NPI 1124218466

MRS. DORESEA L LEWIS (APRN) is a healthcare provider. based in Martinez, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 4704241492 (MI). The NPI Number for MRS. DORESEA L LEWIS (APRN) is 1124218466

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DORESEA L LEWIS (APRN)
NPI
1124218466
Phone
(706) 621-7700
Address
4416 Columbia Rd Ste 100
Enumeration Date
1 August 2007
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3135771396
Graduation Year
2005 (21 years ago)
PAC ID
7315182979
Group Practice PAC ID
8628087681
Professional Enrollment ID
I20130402000289
Address ID
MI482012167DE3901XDRXX304
Telehealth
Yes

Contacts

Secure Messaging
dlewis357867@direct.hfhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness95
Years active:18State licenses:3Other names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for MRS. DORESEA L LEWIS (APRN)

  • 4416 Columbia Rd Ste 100

    Martinez, GA 309074576

    Phone: (706) 621-7700

    Fax: (833) 450-5138

    Type: Location

  • 17365 FAIRFIELD ST

    DETROIT, MI 482212738

    Phone: (734) 502-7308

    Type: Mailing

  • 400 MACK AVE

    DETROIT, MI 482012136

    Phone: (313) 577-1396

    Type: Mailing

  • Joy Road, Warrendale, Detroit, Wayne County, Michigan, 48228, United States

    DETROIT, MI 48228

    Phone: (313) 416-7100

    Type: Location

  • 3901 CHRYSLER DR STE 3B

    DETROIT, MI 482012167

    Phone: (313) 577-1396

    Fax: (313) 577-1419

    Type: Location

  • 4340 LESLIE ST

    DETROIT, MI 482383245

    Phone: (734) 502-7308

    Type: Mailing

  • 6309 MACK AVE

    DETROIT, MI 482072302

    Phone: (313) 331-3435

    Type: Location

  • SC HOUSE CALLS, INC

    111 DOCTORS CIRCLE

    COLUMBIA, SC 29203

    Phone: (800) 491-0909

    Type: Mailing

  • SC HOUSE CALLS, INC.

    111 DOCTORS CIR.

    COLUMBIA, SC 29203

    Phone: (800) 491-0909

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2023-05-04 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($76).

Total Amount

$76

General + Research + Ownership

Payments

1

Total payment records

General Amount

$76

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-04-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130402000289INurse PractitionerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4620$0
View full utilization report →

Insurance plans in this area (ZIP 30907)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628087681View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
H O S P I T A L I S TMI
-MI
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)MI
Internal Medicine, Infectious DiseaseMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Pulmonary Disease, Critical Care (Intensivists)MI
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

What NPI should I save for MRS. DORESEA L LEWIS (APRN)?
Save NPI 1124218466 if you need a stable reference for MRS. DORESEA L LEWIS (APRN).
Is MRS. DORESEA L LEWIS (APRN) active in the national directory?
MRS. DORESEA L LEWIS (APRN)'s public NPI profile is in an active state.
What kind of provider is MRS. DORESEA L LEWIS (APRN)?
The page reflects Nurse Practitioner for MRS. DORESEA L LEWIS (APRN). Clinical services aligned with this taxonomy classification.
Does MRS. DORESEA L LEWIS (APRN) practice in Georgia?
You will see Martinez, Georgia on file for MRS. DORESEA L LEWIS (APRN) alongside any extra practice locations.
What if Martinez, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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