Individual provider Active NPI

Leslie Sharp Lewis, PA-C

  • Physician Assistant
  • Reidsville, NC
National Provider Identifier
1104994813
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103354 Issued in NC
Practice address
233 Gilmer St
Reidsville, NC 27320-3809
Phone
(336) 342-6196
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103354 NC Primary

Addresses

Primary practice location

233 Gilmer St
Reidsville, NC 27320-3809

Mailing address

PO Box 890195
Charlotte, NC 28289-0195
Phone (336) 342-6196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090512000602 NC Practitioner - Physician Assistant 4981753415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Physician Services, IncGroup PAC ID 4284782210, 397 clinicians

Practice addresses (Care Compare)

233 Gilmer St
Reidsville, NC 27320-3809
Phone (336) 342-6196

301 E Wendover Ave
Suite 411
Greensboro, NC 27401-1211
Phone (336) 832-3210

618 S Main St
Reidsville, NC 27320-5020
Phone (336) 951-4000

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services Inc CurrentSince May 1, 2009 Accepting new patients
Moses Cone Physician Services, Inc. Physician Assistant CurrentSince May 1, 2009 Accepting new patients
Reidsville Community Physicians Inc Past Accepting new patients
Moses Cone Physician Services Inc Past Accepting new patients

Locations

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

233 Gilmer St
Reidsville, NC 27320
Phone (336) 342-6196

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104994813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890195",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890195",
            "telephone_number": "336-342-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 GILMER ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203809",
            "telephone_number": "336-342-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LESLIE",
        "middle_name": "SHARP",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.