Demetrius Vinde Lewis

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

NIIA005224 Issued in GA

Practice address

1314 Pagoda Dr
Columbus, GA 31907-4439

Phone

(706) 593-8727

NPI assigned

Apr 30, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1295093086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 PAGODA DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319074439",
            "telephone_number": "706-593-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 PAGODA DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319074439",
            "telephone_number": "706-593-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DEMETRIUS",
        "middle_name": "VINDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN052272",
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "GA",
            "license": "NIIA005224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David H Levine, MD
• Laura A Levy, MD
• Lewis R. Lieberman, Incorporated
• Angel Amorette Lewis
• Annie Mae Lewis, APRN, RN, COSM
• Eugenia Lewis, MS, LPC
• Gregory Lewis
• Iysha Michell Lewis, LPN
• Jamie Bonner Lewis, FNP-C
• Joseph R. Lewis Jr., MD

• Nursing Home Administrator in Columbus, GA
• Providers in Columbus, GA by specialty
• Nursing Home Administrator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.