Individual provider Active NPI

Holly Melissa Lewis, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, SC
National Provider Identifier
1265935159
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
21682 Issued in SC
Practice address
4766 Sunset Blvd Ste a
Lexington, SC 29072-9252
Phone
(803) 381-5637
NPI assigned
Mar 16, 2018
Last updated
Mar 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 21682 SC Primary

Addresses

Primary practice location

4766 Sunset Blvd Ste a
Lexington, SC 29072-9252

Mailing address

507 Tram Rd
Columbia, SC 29210-4420
Phone (803) 546-9908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20220523001564 SC Practitioner - Nurse Practitioner 3173953312 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Future Psych Solutions, LLC CurrentSince Apr 1, 2022 Accepting new patients
TMS Neurohealth South Carolina LLC CurrentSince Apr 1, 2022 Accepting new patients
Jeanna Robbins, LPC, Counseling Services, LLC Psychiatric/Mental Health Past Accepting new patients

Locations

1911 Gadsden St
Ste 101
Columbia, SC 29201
Phone (803) 335-5232

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1265935159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 TRAM RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104420",
            "telephone_number": "803-546-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4766 SUNSET BLVD STE A",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729252",
            "telephone_number": "803-381-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "HOLLY",
        "middle_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "21682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.