William Michael Lewis, MD
Individual provider Active NPI Family Medicine Physician · Greenbrier, TN
NPI 1316944648 · NPPES record last updated Mar 9, 2012
Key facts
- NPI
- 1316944648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD8515 (TN)
- Practice address
- 2557 Highway 41 S
Greenbrier, TN 37073-5516 - Phone
- (615) 643-4534
- Fax
- (615) 643-4537
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100218000086 | TN | Practitioner - Family Practice | 1355439613 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8515 | TN | MD | Pharmacist |
Interoperability endpoints
- williamlewis@ncps.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD8515 | TN | Yes |
Addresses
Primary practice location
2557 Highway 41 S
Greenbrier, TN 37073-5516
Mailing address
2557 Highway 41 S
Greenbrier, TN 37073-5516
Phone (615) 643-4534
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3194832 | Medicaid | TN |
Other providers in Greenbrier, TN
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- Teresa S Jones
- Dana King
- Juliet Lavie
- Riley Lawyer
- Yolanda Livingston
- Amy Niccole Madden-Ray
- Charles Andrew Mullins
- Jo Susan Offutt-Blackaby
- Cinthya C Ortiz Morales
All providers in Greenbrier, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.