Jeffrey Thomas Lewis Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA6077 Issued in TN

Practice address

7680 Dannaher Dr.
Powell, TN 37849-4052

Phone

(865) 521-8050

Fax

(865) 544-5816

NPI assigned

Feb 27, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, TN2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Health System, Inc Hospital, Knoxville, TN, CCN 440015
• Leconte Medical Center Hospital, Sevierville, TN, CCN 440081
• Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
• Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

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.

• Greater Knoxville Ear, Nose and Throat Associates, PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Powell, TN
  • NPI 1578647806
  Medicare reassignment
• Otolaryngology Physicians of Lancaster, LTD.

  • Otolaryngology Physician
  • Lancaster, PA
  • NPI 1134200181
  Medicare reassignment

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

• Leconte Medical Center

  • General Acute Care Hospital
  • Sevierville, TN
  • NPI 1528052578
  Care Compare affiliation
• Metro Knoxville Hma LLC

  • General Acute Care Hospital
  • Powell, TN
  • NPI 1043292899
  Care Compare affiliation
• Parkwest Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  Care Compare affiliation
• University Health System, Inc.

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1538164090
  Care Compare affiliation

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1053010256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 REGAL LN SUITE 200A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185804",
            "telephone_number": "865-521-8050",
            "fax_number": "865-544-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7680 DANNAHER DR.",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494052",
            "telephone_number": "865-521-8050",
            "fax_number": "865-544-5816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "561 W Trout Run Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229604",
            "country_code": "US",
            "telephone_number": "717-394-5088",
            "fax_number": "717-394-5590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JEFFREY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2024-07-25",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064392",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA6077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystina Elizabeth Lane, FNP- BC
• Katherine Hinson Laney, O.D.
• Jacob Lay, PMHNP
• Michael Douglas Leahy, MD
• Erin Irene Legate
• Stephanie K Lezatte, PA-C
• Jamie Liacone
• Lift East Tennessee
• Rachelle D Lindholm, PMHNP
• James D Linz, DPT

• Physician Assistant in Powell, TN
• Providers in Powell, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.

Verify at the official NPI Registry.