Active NPI
Johnathan Lewis MD PLLC
Doing business as The Lewis Clinic
- Family Medicine Physician
- Camden, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JOHNATHAN LEWIS MD PLLC
- Doing business as
- The Lewis Clinic
- Practice address
- 430 Magnolia Rd
Camden, AR 71701-4146 - Phone
- (870) 836-5709
- Fax
- (870) 836-5837
- NPI assigned
- Sep 9, 2020
- Last updated
- Aug 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnathan Lewis, MD
- Title
- Owner
- Phone
- (870) 836-5709
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
430 Magnolia Rd
Camden, AR 71701-4146
Mailing address
430 Magnolia Rd
Camden, AR 71701-4146
Phone (870) 836-5709
Other names 1
- The Lewis Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2194593 | Lewis Clinic, the | Certificate of waiver | Sep 30, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Camden, AR
- NPI 1699741298
-
- Family Nurse Practitioner
- Sheridan, AR
- NPI 1366054959
-
- Family Nurse Practitioner
- Camden, AR
- NPI 1124881073
-
- Family Nurse Practitioner
- Camden, AR
- NPI 1225983604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724716800000",
"number": "1265047187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 MAGNOLIA RD",
"city": "CAMDEN",
"state": "AR",
"postal_code": "717014146",
"telephone_number": "870-836-5709",
"fax_number": "870-837-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 MAGNOLIA RD",
"city": "CAMDEN",
"state": "AR",
"postal_code": "717014146",
"telephone_number": "870-836-5709",
"fax_number": "870-836-5837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNATHAN LEWIS MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-09",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "JOHNATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-836-5709",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Lewis Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Lewis Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Camden, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.