Kyle T Lewis MD PLLC

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

Legal business name

KYLE T LEWIS MD PLLC

Practice address

501 Baptist Dr Ste 220
Madison, MS 39110-2031

Phone

(601) 985-9120

Fax

(601) 985-9122

NPI assigned

Nov 10, 2025

Organization subpart

No

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

Authorized official

Name

Kyle T Lewis, MDNPI 1902017924

Title

Owner

Phone

(601) 985-9120

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Lewis, M. D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Jackson, MS
  • NPI 1902017924
  Medicare reassignment Care Compare group NPD Authorized official
• Becky Moore

  • Physician Assistant
  • Raleigh, NC
  • NPI 1013370527

  MS

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1235009762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BAPTIST DR STE 220",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102031",
            "telephone_number": "601-985-9120",
            "fax_number": "601-985-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BAPTIST DR STE 220",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102031",
            "telephone_number": "601-985-9120",
            "fax_number": "601-985-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE T LEWIS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-985-9120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "302IL88328",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01823221",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Gill Kosko, M.D.
• Sarah Ann Kowalczyk, BCBA
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Sandra Kwarteng
• Megan P Ladner, MS, OTR/L
• Lance J Welch DMD LLC
• Tiffany B Langham
• Lara Clement, PLLC
• Justin M. Lay, D.O.

• Ophthalmic Plastic and Reconstructive Surgery Physician in Madison, MS
• Providers in Madison, MS by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.