Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicollette Lewis, MD

Individual provider Family Medicine Physician · NPI 1891372207

Nicollette Lewis, MD is a Family Practice in Woodstock, Georgia. Graduated from Medical College of Georgia School of Medicine in 2021, 5 years ago. Licensed in Georgia.

Years since qualifying
5
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1192 Buckhead Xing Ste C
Woodstock, GA 30189-4255
Phone: (678) 238-0301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 100496 (GA)

Record details

NPI number1891372207
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2021
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address1192 Buckhead Xing Ste C, Woodstock, GA 30189-4255

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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