MEDICARE: BROOKE HANAWAY LEWIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0202X	Pediatric Cardiology Physician	055951	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669421434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE HANAWAY LEWIS MD

Provider Business Mailing Address
First Line	:	2970 BRANDYWINE RD STE 125
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-5521
Country	:	US
Telephone Number	:	404-256-2593
Fax Number	:	770-488-9408

Provider Business Practice Location Address
First Line	:	134 RIVERSTONE TER STE 202
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30114-1705
Country	:	US
Telephone Number	:	770-213-8942
Fax Number	:	770-213-4158

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	04/23/2026

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1619938198 — NERKA LAVETTE WATKINS-GRAHAM MD
Practice Location Address:

134 RIVERSTONE TERRACE , SUITE 103
CANTON, GA
30114-1705

Practice Phone: 770-479-1985
Practice Fax: 770-479-4839

1073574554 — JONATHAN ARTHUR CHEEK MD
Practice Location Address:

134 RIVERSTONE TERRACE , SUITE 103
CANTON, GA
30114-1705

Practice Phone: 770-479-1985
Practice Fax: 770-479-4839

1295690667 — ASHLEY BURTON
Practice Location Address:

134 RIVERSTONE TER STE 103
CANTON, GA
30114-1705

Practice Phone: 770-479-1985
Practice Fax:

1710680178 — DE-SHAWNAY BETTIEANA-TANIESHA DANIELS
Practice Location Address:

1613 2ND ST NE
CANTON, OH
44704-1705

Practice Phone: 330-371-8985
Practice Fax:

1639014392 — BILLY FOWLER
Practice Location Address:

313 STONEY HOLLOW RD
CANTON, GA
30114-7245

Practice Phone: 404-907-1918
Practice Fax:

Directions to “ BROOKE HANAWAY LEWIS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.