Individual provider Active NPI

Sherry Ann Lewis, M.D.

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1093828931
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00004494 Issued in AL
Practice address
2005 Max Luther Dr NW
Huntsville, AL 35810-3801
Phone
(256) 859-6340
Fax
(256) 851-7475
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00004494 AL Primary

Addresses

Primary practice location

2005 Max Luther Dr NW
Huntsville, AL 35810-3801

Mailing address

2005 Max Luther Dr NW
Huntsville, AL 35810-3801
Phone (256) 859-6340

Other identifiers 1

IdentifierTypeStateIssuer
16510LEWOtherALBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160811001374 AL Order and Referring Only - Family PracticePractitioner - Family Practice 1850530221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00004494ALMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093828931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 MAX LUTHER DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358103801",
            "telephone_number": "256-859-6340",
            "fax_number": "256-851-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 MAX LUTHER DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358103801",
            "telephone_number": "256-859-6340",
            "fax_number": "256-851-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHERRY",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00004494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER  NUMBER",
            "identifier": "16510LEW",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.