Jacqueline Lewis, NP
NPI 1093263071ActiveIndividual· Nurse Practitioner, Family· Ellenwood, GA
Nurse Practitioner, Family (NP) with Oak Street Health of Georgia PC, practicing in Ellenwood, Georgia. Part D covered 58 prescriptions written in 2024, 95% of them generic.
Overview
| NPI | 1093263071 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Sep 19, 2016 |
| Last updated in NPPES | May 5, 2026 |
| Certified by provider | May 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APRN-NP172074 | GA |
| Nurse Practitioner | 363L00000X | RN172074 | GA |
| Nurse Practitioner, Adult Health | 363LA2200X | APRN-NP172074 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA); Practitioner - Nurse Practitioner (VA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 58 · 91 30-day fills |
|---|---|
| Patients | 26 |
| Total drug cost | $809.62 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Oak Street Health of Georgia PCRiverdale, GA · 42 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in Ellenwood
- 1467967497
- 1770247066
- 1568126266
- 1992108328
- 1477190189
- 1992065718
- 1821608399
- 1285169185
- 1336304682
- 1437664463
- 1346748837
- 1326588104