HEATHER LEWIS (PA-C) – Medical Physician Assistant, NPI 1235574906

HEATHER LEWIS (PA-C) is a healthcare provider. based in Gray, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 006787 (GA). The NPI Number for HEATHER LEWIS (PA-C) is 1235574906

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER LEWIS (PA-C)
NPI
1235574906
Phone
(478) 621-2100
Address
1005 Boulder Dr
Enumeration Date
7 May 2013
Last Update Date
14 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9122905235209
Graduation Year
2013 (13 years ago)
PAC ID
3678881455
Group Practice PAC ID
6608914056
Professional Enrollment ID
I20150928001731
Address ID
GA304171412CL308XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

4,431 PHYSICIAN ASSISTANT in GA

Provider Addresses for HEATHER LEWIS (PA-C)

  • 1005 Boulder Dr

    Gray, GA 31032

    Phone: (478) 621-2100

    Fax: (478) 744-0481

    Type: Location

  • 110 Rt Stanley SR Pl

    Lyons, GA 304365623

    Phone: (912) 526-9355

    Type: Location

  • 1005 BOULDER DR

    GRAY, GA 310326141

    Phone: (478) 621-2100

    Fax: (478) 744-0481

    Type: Mailing

  • 308 E LONG ST

    CLAXTON, GA 304171412

    Phone: (912) 290-5235

    Fax: (478) 744-0481

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 72 Open Payments records for all available years, with a total value of $1,384.

Total Amount is formed as General ($1,384) + Research ($0) + Ownership ($0) = $1,384.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($377).

Total Amount

$1,384

General + Research + Ownership

Payments

72

Total payment records

General Amount

$1,384

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2015-09-28

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
I20150928001731IPhysician AssistantGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31032)

Loading plans...

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: 6608914056View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Family PracticeGA
Family PracticeGA
Nurse PractitionerGA
Family PracticeGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is HEATHER LEWIS (PA-C)'s NPI number?
HEATHER LEWIS (PA-C)'s NPI is 1235574906 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to HEATHER LEWIS (PA-C)?
You should see HEATHER LEWIS (PA-C) as active in CMS-hosted NPPES data.
What clinical focus is listed for HEATHER LEWIS (PA-C)?
At a glance, HEATHER LEWIS (PA-C) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for HEATHER LEWIS (PA-C)?
Travel planning: use Gray, Georgia as the reference point for HEATHER LEWIS (PA-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

Winn Army Community Hospital, 1061, Harmon Avenue, Bowen, Fort Stewart, Liberty County, Georgia, 31314, United States
NPI: 1427051739
Bellevue Road, Sallynoggin, Dun Laoghaire-Sallynoggin East ED, Dún Laoghaire, Dún Laoghaire-Rathdown, County Dublin, Leinster, A96H312, Ireland
NPI: 1124020425

MR. CLIFFORD D. LEWIS (PA)

Medical Physician Assistant
Winn Army Community Hospital, 1061, Harmon Avenue, Bowen, Fort Stewart, Liberty County, Georgia, 31314, United States
NPI: 1881696144

LIZA TANGHAL (PA C)

Medical Physician Assistant
1700, Tree Lane, Snellville, Gwinnett County, Georgia, 30078, United States
NPI: 1093719072

Unknown Individual

Medical Physician Assistant
210, North Racetrack Street, Swainsboro, Emanuel County, Georgia, 30401, United States
NPI: 1023012580

MARGARET HINSON-WILLIAMS (PA-C)

Medical Physician Assistant
275, Collier Road Northwest, A, Atlanta, Georgia, 30309, United States
NPI: 1174528012

JOHN CARMEN DERCOLA (PA)

Medical Physician Assistant
55, Whitcher Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
NPI: 1417952433