Individual provider Active NPI

Eric Van Lewis, M.D.

  • Orthopaedic Surgery Physician
  • Tupelo, MS
National Provider Identifier
1043229990
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20824 Issued in MS
Practice address
499 Gloster Creek VLG Ste G1
Tupelo, MS 38801-4751
Phone
(662) 377-2663
Fax
(662) 840-5856
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 20824 MS
Orthopaedic Surgery Physician 207X00000X 20824 MS Primary

Addresses

Primary practice location

499 Gloster Creek VLG Ste G1
Tupelo, MS 38801-4751

Mailing address

4381 S Eason Blvd
Suite 303
Tupelo, MS 38801-6583
Phone (662) 840-5747

Other identifiers 1

IdentifierTypeStateIssuer
07451813MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512001026 MS Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 5799752234 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Meharry Medical College School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Institute of North Mississippi, LLCGroup PAC ID 7113914078, 10 clinicians

Practice addresses (Care Compare)

499 Gloster Creek VLG
Suite G1
Tupelo, MS 38801-4751
Phone (662) 377-2663

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)108
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center CurrentSince Dec 7, 2009 Accepting new patients
Orthopaedic Institute of North Mississippi, LLC Orthopaedic Surgery CurrentSince Apr 1, 2011 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Comprehensive Rehab Consultants PLLC CurrentSince Mar 15, 2025 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Dec 7, 2009 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

111 Chase St
Byhalia, MS 38611
Phone (662) 252-1141

102 Woodchase Park Dr
Clinton, MS 39056
Phone (601) 924-7043

499 Gloster Creek Vlg
Ste G1
Tupelo, MS 38801
Phone (662) 377-2663

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

4381 S Eason Blvd
Tupelo, MS 38801
Phone (662) 377-5199

4381 S Eason Blvd
Ste 303
Tupelo, MS 38801
Phone (662) 840-5747

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

Interoperability endpoints

  • Direct secure messaging: ericlewis@nmhs.medalliesdirect.net
  • Direct secure messaging: ericlewis@oa.exscribedirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1043229990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4381 S EASON BLVD",
            "address_2": "SUITE 303",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016583",
            "telephone_number": "662-840-5747",
            "fax_number": "662-840-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE G1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014751",
            "telephone_number": "662-377-2663",
            "fax_number": "662-840-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ERIC",
        "middle_name": "VAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MS",
            "license": "20824",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "20824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07451813",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.