Russell A Lewis , RN
Contractor • Rincon, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Russell Lewis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Russell Lewis, RN was a registered Contractor practicing in Rincon, GA. Throughout an active medical career spanning 18 years, Russell Lewis provided care at the practice location at 108 KATIE DR until profile deactivation on 2023-11-15.
Practice Location & Contact Primary Location
108 Katie Dr
Rincon, GA 313265708
Specialty Benchmarks & Practice Insights
Comparative analytics for Contractor in Rincon, GA
Practicing in Rincon, GA (727 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171W00000X
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 15, 2023
NPI status registered as active in NPPES database
Registered at 108 KATIE DR, RINCON, GA 313265708 (Tel: 9128264170)
Registered at 108 KATIE DR, RINCON, GA 313265708 (Tel: 9128264170)
Recorded as RUSSELL LEWIS, RN
Contractor (License #2090 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
108 Katie Dr
Rincon, GA 313265708
Phone: 9128264170
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