Individual provider Active NPI

Doresea L Lewis, APRN

  • Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1124218466
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN711041 Issued in GA
Practice address
SC House Calls, Inc.
111 Doctors Cir.
Columbia, SC 29203
Phone
(800) 491-0909
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704241492 MI
Nurse Practitioner 363L00000X RN711041 GA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-NP711041 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704241492 MI

Addresses

Primary practice location

SC House Calls, Inc.
111 Doctors Cir.
Columbia, SC 29203

Mailing address

SC House Calls, Inc
111 Doctors Circle
Columbia, SC 29203
Phone (800) 491-0909

Other practice location 1

4416 Columbia Rd Ste 100
Martinez, GA 30907-4576
Phone (706) 621-7700

Other identifiers 1

IdentifierTypeStateIssuer
1124218466MedicaidMI

Other names 1

  • Doresea L Lewis-Bogan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlewis357867@direct.hfhs.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130402000289 MI Practitioner - Nurse Practitioner 7315182979 Reassigns benefits to 5 organizations
I20260507003446 GA Practitioner - Nurse Practitioner 7315182979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians
Neighborhood Service OrganizationGroup PAC ID 7113907387, 11 clinicians

Practice addresses (Care Compare)

3901 Chrysler Dr
Suite 3B
Detroit, MI 48201-2167
Phone (313) 577-1396

624 Ellis St
Augusta, GA 30901-1434
Phone (800) 491-0909

8600 Woodward Ave
Nso/Life Choices
Detroit, MI 48202-2142
Phone (313) 875-7601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN711041GAMDNurse Practitioner
4704241492MIMDNurse Practitioner
APRN-NP711041GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Nurse Practitioner CurrentSince Jul 18, 2016 Accepting new patients
University Physician Group CurrentSince May 10, 2022 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Jul 3, 2017 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Jul 3, 2017 Accepting new patients
Team Wellness Center CurrentSince Nov 15, 2021 Accepting new patients
Team Mental Health Services Inc. CurrentSince Nov 15, 2021 Accepting new patients
Henry Ford Health System CurrentSince Jul 18, 2016 Accepting new patients
Neighborhood Service Organization CurrentSince Dec 17, 2023 Accepting new patients
Psychiatric Professionals of Georgia, LLC PastSince May 18, 2025 Accepting new patients
University Physician Group PastSince May 10, 2022 Accepting new patients

Locations

6549 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 620-6400

921 Howard St
Dearborn, MI 48124
Phone (313) 274-3700

290 Town Center Dr
Ste 400
Dearborn, MI 48126
Phone (248) 763-5289

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

6071 W Outer Dr
Ste 2
Detroit, MI 48235
Phone (313) 966-3300

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

2925 Russell St
Detroit, MI 48207
Phone (313) 462-4714

8600 Woodward Ave
Detroit, MI 48202
Phone (313) 875-7601

3901 Chrysler Dr
Ste 3B
Detroit, MI 48201
Phone (313) 577-1396

400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006

6309 Mack Ave
Detroit, MI 48207
Phone (313) 331-3435

10300 W 8 Mile Rd
Ferndale, MI 48220
Phone (248) 398-3200

14799 Dix Toledo Rd
Southgate, MI 48195
Phone (888) 813-8326

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

8150 Old 13 Mile Rd
Warren, MI 48093
Phone (586) 558-7472

Interoperability endpoints

  • Direct secure messaging: dlewis357867@direct.hfhs.org
  • Direct secure messaging: dbogan@landmarkhealth-direct.org
  • Direct secure messaging: doresea.lewis-bogan.1@19711.direct.athenahealth.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1124218466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS, INC",
            "address_2": "111 DOCTORS CIRCLE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "800-491-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS, INC.",
            "address_2": "111 DOCTORS CIR.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4416 Columbia Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "GA",
            "postal_code": "309074576",
            "country_code": "US",
            "telephone_number": "706-621-7700",
            "fax_number": "833-450-5138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DORESEA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704241492",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN711041",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP711041",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704241492",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124218466",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlewis357867@direct.hfhs.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Hospital",
            "address_1": "2799 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DORESEA",
            "last_name": "LEWIS-BOGAN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.