JERRY MADISON LEWTER RN NPI 1285699934

NPI Information

NPI: 1285699934
Provider Name: JERRY MADISON LEWTER, RN
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
3726 ASHFORD DUNWOODY RD NE
APT N
ATLANTA, GA
ZIP 30319
Phone: (678) 404-2343
Get Directions

Jerry Madison Lewter, RN is a critical care medicine registered nurse in Atlanta, GA. Jerry Madison Lewter, RN NPI is 1285699934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3726 ASHFORD DUNWOODY RD NE
APT N
ATLANTA, GA
ZIP 30319-873
Phone: (678) 404-2343

The enumeration date for this NPI number is 4/18/2006 and was last updated on 3/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0200X	Registered Nurse	Pediatrics	RN158379	GEORGIA	No
2	163W00000X	Registered Nurse		RN158379	GEORGIA	No
3	163WH0200X	Registered Nurse	Home Health	RN158379	GEORGIA	No
4	163WW0000X	Registered Nurse	Wound Care	RN158379	GEORGIA	No
5	163WH0500X	Registered Nurse	Hemodialysis	RN158379	GEORGIA	No
6	163WG0000X	Registered Nurse	General Practice	RN158379	GEORGIA	No
7	163WC0200X	Registered Nurse	Critical Care Medicine	RN158379	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN158379	OTHER	GEORGIA	RN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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