Derris Lequise Lewis

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

2007 Dana LN Lot 3
Conover, NC 28613-8176

Phone

(614) 517-0268

NPI assigned

Oct 3, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lewis Mobile Home Buys LLC

  • Case Management Agency
  • Conover, NC
  • NPI 1497610455

  Community/Behavioral Health

  NPD Authorized official

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1144194952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 DANA LN LOT 3",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138176",
            "telephone_number": "614-517-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 DANA LN LOT 3",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138176",
            "telephone_number": "614-517-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DERRIS",
        "middle_name": "LEQUISE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bee Lao
• Larissa M. Mastro, DDS, P.a.
• Melissa Leonhardt, MA
• Level Four Orthotics & Prosthetics, Inc.
• Lewis Mobile Home Buys LLC
• Ilse Limon-Garcia, MSW
• Living Waters Agency LLC
• Londry & Modlin II DDS PLLC
• William Long, M.D.
• Lori Crouch

• Community/Behavioral Health Agency in Conover, NC
• Providers in Conover, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.