Healthcare Provider Details

I. General information

NPI: 1669412904
Provider Name (Legal Business Name): JAMES L LEWIS III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 PRINCETON AVE SW STE 206
BIRMINGHAM AL
35211-1348
US

IV. Provider business mailing address

1770 INDEPENDENCE CT
VESTAVIA HILLS AL
35216-1259
US

V. Phone/Fax

Practice location:
  • Phone: 205-226-5900
  • Fax: 205-226-5937
Mailing address:
  • Phone: 205-226-5900
  • Fax: 205-226-5937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number13798
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: