Charles Jordy Rewis, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN248151 Issued in GA

Practice address

228 Memorial Dr
Jesup, GA 31545-0102

Phone

(912) 352-1700

NPI assigned

Feb 18, 2019

Last updated

Aug 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Memorial Satilla Specialists, LLCGroup PAC ID 5991074957, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Satilla Health Hospital, Waycross, GA, CCN 110003
• Bacon County Hospital Hospital, Alma, GA, CCN 111327
• Appling Healthcare Hospital, Baxley, GA, CCN 110071

Merit-based Incentive Payment System (MIPS)

Final score

91.18 of 100Reported as individual

Quality

81.9

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.rewis@hca5.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memorial Satilla Specialists, LLC

  • General Practice Physician
  • Waycross, GA
  • NPI 1295266955
  Medicare reassignment Care Compare group NPD
• Mayo Clinic Health System in Waycross, Inc.

  • Multi-Specialty Clinic/Center
  • Waycross, GA
  • NPI 1154745982
  NPD (past)

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

• Bacon County Health Services, Inc.

  • Critical Access Hospital
  • Alma, GA
  • NPI 1629185285
  Care Compare affiliation
• Southeast Georgia Health Services, L.L.C.

  dba Memorial Satilla Health

  • Rural Acute Care Hospital
  • Waycross, GA
  • NPI 1922530468
  Care Compare affiliation
• The Baxley and Appling County Hospital Authority

  dba appling healthcare system

  • General Acute Care Hospital
  • Baxley, GA
  • NPI 1861615304
  Care Compare affiliation

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1235695990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 ALICE ST STE 4B",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016257",
            "telephone_number": "912-385-5690",
            "fax_number": "912-285-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 MEMORIAL DR",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450102",
            "telephone_number": "912-352-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1706 Alice St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315015216",
            "country_code": "US",
            "telephone_number": "912-352-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REWIS",
        "first_name": "CHARLES",
        "middle_name": "JORDY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-18",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN248151",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN248151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Murphy Reid, PHARMD
• Reliance Sleep Centers of America, PA
• Renewed Hope Health & Wellness, LLC
• Restore Physical Therapy, LLC (FYZICAL Therapy & Balance Center)
• Resurrection Institute for Biblical Studies (Golden Isles Family Practice)
• Lakecia Monique Reynolds
• Richard J. Lewis, D.O., P.C. (Peachtree Obstetrics and Gynecology)
• Robert a Pumpelly IV MD PC
• Robert M Patacsil DO PC (Robert M Patacsil DO)
• Hannah Carters Roberts, PA-C

• Nurse Practitioner in Jesup, GA
• Providers in Jesup, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.