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
Last updated
May 4, 2026By the provider in NPPES
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

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
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, shared by 7 NPIs, 41 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

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 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
Field Memorial Community Hospital Internal Medicine Current Accepting new patients
Wilkinson County Senior Care LLC Past Accepting new patients

Locations

178 Highway 24 E
Centreville, MS 39631
Phone (601) 645-5221

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

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

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

270 E Main St
Centreville, MS 39631
Phone (601) 645-5221

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 5

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.

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, MS

Sources for this page

Verify at the official NPI Registry.