Active NPI
Stephanie P Lewis, APRN
- Family Nurse Practitioner
- Ninety Six, SC
National Provider Identifier
1023948452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 31988
- Practice address
- 103 Little Mountain Rd
Ninety Six, SC 29666-9252 - Phone
- (864) 543-3515
- Fax
- (864) 725-1931
- NPI assigned
- May 19, 2026
- Last updated
- May 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 31988 | SC | Primary |
Addresses
Primary practice location
103 Little Mountain Rd
Ninety Six, SC 29666-9252
Mailing address
104 Wells Ave
Greenwood, SC 29646-3837
Phone (864) 725-4673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
104 Wells Ave
Greenwood, SC 29646-3837
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31988 | SC | MD | Pediatrics Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Montgomery Center for Family Medicine of SRH
- Family Medicine Physician
- Greenwood, SC
- NPI 1326067703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1023948452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WELLS AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463837",
"telephone_number": "864-725-4673",
"fax_number": "864-725-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 LITTLE MOUNTAIN RD",
"city": "NINETY SIX",
"state": "SC",
"postal_code": "296669252",
"telephone_number": "864-543-3515",
"fax_number": "864-725-1931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "STEPHANIE",
"middle_name": "P",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-19",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "31988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ninety Six, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.