NPIMap

Individual provider Active NPI

Robert L Lewis, MD

  • Internal Medicine Physician
  • Woodville, MS
National Provider Identifier
1093752115
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9630 Issued in MS
Practice address
451 Bank St
Woodville, MS 39669-6000
Phone
(601) 888-3421
Fax
(601) 888-3685
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9630 MS Primary

Addresses

Primary practice location

451 Bank St
Woodville, MS 39669-6000

Mailing address

178 Highway 24 E
Centreville, MS 39631-4171
Phone (601) 888-0500

Other identifiers 2

IdentifierTypeStateIssuer
0115504MedicaidMS
1339563MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050504000495 MS Practitioner - Internal Medicine 7719927227 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Field Memorial Community HospitalGroup PAC ID 0547248544, 41 clinicians

Practice addresses (Care Compare)

451 Bank St
Woodville, MS 39664-0876
Phone (601) 888-3421

Hospital & facility affiliations

  • Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson Home health agency, Clinton, MS, CCN 257102
  • Dignity Hospice LLC Hospice, Brookhaven, MS, CCN 251694
  • Field Health System Hospital, Centreville, MS, CCN 251309
  • Southwest Ms Regional Medical Center Hospital, McComb, MS, CCN 250097
  • Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020
  • King'S Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057
  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
  • Wilkinson County Senior Care Nursing home, Centreville, MS, CCN 255126
  • Field Health System Nursing home, CCN 25Z309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9630MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Field Memorial Community Hospital Internal Medicine Current Accepting new patients
Field Memorial Community Hospital CurrentSince Oct 1, 2001 Accepting new patients
Field Memorial Community Hospital Current Accepting new patients
Field Memorial Community Hospital CurrentSince Oct 1, 2001 Accepting new patients
Wilkinson County Senior Care LLC Past Accepting new patients
Field Memorial Community Hospital Past Accepting new patients

Locations

178 Highway 24 E
Ste A
Centreville, MS 39631
Phone (601) 890-0520

178 Highway 24 E
Centreville, MS 39631
Phone (601) 890-0500

260 W Main St
Centreville, MS 39631
Phone (601) 645-5088

270 E Main St
Centreville, MS 39631
Phone 6016455221335

178 Highway 24 E
Ste B
Centreville, MS 39631
Phone (601) 835-0077

434 N Captain Gloster Dr
Gloster, MS 39638
Phone (601) 225-4711

451 Bank St
Woodville, MS 39669
Phone (601) 888-3421

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dignity Hospice LLCBrookhaven, MS, CCN 251694 Hospice Contracted Managing Employee Jul 28, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1093752115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 24 E",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396314171",
            "telephone_number": "601-888-0500",
            "fax_number": "601-888-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 BANK ST",
            "city": "WOODVILLE",
            "state": "MS",
            "postal_code": "396696000",
            "telephone_number": "601-888-3421",
            "fax_number": "601-888-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "9630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115504",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1339563",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, MS

Sources for this page

Verify at the official NPI Registry.