Charles Alan Lewis, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

ME0057039 Issued in FL

Practice address

1224 Ocala Rd
Tallahassee, FL 32304-1548

Phone

(850) 576-2129

Fax

(850) 576-9602

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437868800000",
    "number": "1063432045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 RIVERVIEW DR",
            "city": "CARRABELLE",
            "state": "FL",
            "postal_code": "323225053",
            "telephone_number": "850-697-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 OCALA RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041548",
            "telephone_number": "850-576-2129",
            "fax_number": "850-576-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHARLES",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME0057039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD (MEDICARE)",
            "identifier": "080157777",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056965800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arinelle Tiandra Lewis-Taylor
• Amanda Rose Lewis, M.S.
• Andrew James Lewis Jr., D.C.
• Ashley Louise Lewis
• Chantel Lewis, REGISTERED NURSE
• Joyce Catherine Lewis, PA-C
• Judith Ann Lewis, M.D.
• Kiley Lewis, OTR/L
• Scott A Lewis, PA-C
• Shirkera Lewis

• All providers in Tallahassee, FL
• Public Health & General Preventive Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.