Augustine Warner Lewis III

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101019901 Issued in VA

Practice address

7864 Richmond Tappahannock Hwy
Aylett, VA 23009-3056

Phone

(804) 746-1677

Fax

(804) 769-3170

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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.

• Bon Secours Medical Group Richmond Primary Care LLC

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1861050635

  Family Medicine, VA

  Medicare reassignment NPD
• Bon Secours St. Francis Medical Center LLC

  • General Acute Care Hospital
  • Midlothian, VA
  • NPI 1356350391

  VA

  Medicare reassignment NPD
• Bon Secours St. Mary'S Hospital of Richmond LLC

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1962464016

  VA

  Medicare reassignment NPD
• Bon Secours St Mary'S Hospital of Richmond LLC

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1780084921
  NPD
• Bon Secours St Marys Hospital of Richmond LLC

  • Land Ambulance
  • Richmond, VA
  • NPI 1124772470
  NPD
• Bon Secours St. Francis Medical Center LLC

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1497788806

  Family Medicine

  NPD
• Bon Secours St. Francis Medical Center LLC

  • Neonatal-Perinatal Medicine Physician
  • Midlothian, VA
  • NPI 1952945941
  NPD

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 29, 2009.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1265469738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7864 RICHMOND TAPPAHANNOCK HWY",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "230093056",
            "telephone_number": "804-746-1677",
            "fax_number": "804-769-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7864 RICHMOND TAPPAHANNOCK HWY",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "230093056",
            "telephone_number": "804-746-1677",
            "fax_number": "804-769-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AUGUSTINE",
        "middle_name": "WARNER",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101019901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C05698",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM (BC/BS OF VA)",
            "identifier": "204502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "254728",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - LIFE",
            "identifier": "5606468",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - HMO",
            "identifier": "5606468",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005811694",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080123285",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1471267",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH SERVICES",
            "identifier": "79134",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geri Nicole Kennedy
• King William County Board of Supervisors
• King William Pharmacy Inc
• King William Physical Therapy
• King William Volunteer Fire and Rescue
• Grace Limbaugh
• Anna A Limberger, PT, PHD
• Sara Eleanor Hooper Majewski, NP
• Mangohick Volunteer Fire Department Inc.
• Molly Baldwin Massey, FNP-C

• All providers in Aylett, VA
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.