Active NPI
John Marshall Lewis, D.O.
- Internal Medicine Physician
- Crossville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO02570
- Practice address
- 100 Lantana Rd Ste 202
Crossville, TN 38555 - Phone
- (931) 484-5141
- Fax
- (931) 484-5620
- NPI assigned
- May 18, 2011
- Last updated
- Apr 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | DO02570 | TN | Primary |
Addresses
Primary practice location
100 Lantana Rd Ste 202
Crossville, TN 38555
Mailing address
100 Lantana Rd Ste 202
Crossville, TN 38555-1903
Phone (931) 484-5141
Other practice location 1
229 Interstate Dr
Suite 103
Crossville, TN 38555-2709
Phone (931) 210-5577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q006079 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lewis.john.m@covenanthealth.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Lincoln Memorial University Medical Department, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Lantana Rd
Suite 202
Crossville, TN 38555-1903
Phone (931) 484-5141
Hospital & facility affiliations
- Quality Home Health
- Amedisys Home Health
- Adoration Home Health Nashville South
- Cumberland Medical Center
- Roane Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.49 of 100
- Quality
- 84.53
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO02570 | TN | MD | Internal Medicine Physician |
| 2570 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine Services of Tennessee PC | Internal Medicine | Current | Accepting new patients |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Exac Care, PLLC | Current | Accepting new patients |
Locations
229 Interstate Dr
Ste 103
Crossville, TN 38555
Phone (931) 210-5577
421 S Main St
Crossville, TN 38555
Phone (931) 260-1465
100 Lantana Rd
Ste 202
Crossville, TN 38555
Phone (931) 484-5141
Dept 888179
Knoxville, TN 37995
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
Internal Medicine
-
- Hospitalist Physician
- Lawrenceburg, IN
- NPI 1528433802
Internal Medicine, TN
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adoration Home Health Nashville South
- Home Health Agency
- Brentwood, TN
- NPI 1346720398
-
dba Amedisys Home Health
- Home Health Agency
- Livingston, TN
- NPI 1972551752
-
dba Cumberland Medical Center
- General Acute Care Hospital
- Crossville, TN
- NPI 1871596403
-
dba Covenant Health Roane
- General Acute Care Hospital
- Harriman, TN
- NPI 1700036696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1336432798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LANTANA RD STE 202",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385551903",
"telephone_number": "931-484-5141",
"fax_number": "931-484-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LANTANA RD STE 202",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "38555",
"telephone_number": "931-484-5141",
"fax_number": "931-484-5620"
}
],
"practiceLocations": [
{
"address_1": "229 Interstate Dr",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Crossville",
"state": "TN",
"postal_code": "385552709",
"country_code": "US",
"telephone_number": "931-210-5577",
"fax_number": "931-210-5575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "JOHN",
"middle_name": "MARSHALL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-18",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "DO02570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q006079",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lewis.john.m@covenanthealth.cernerdirect.com",
"affiliation": "N",
"address_1": "100 Lantana Rd Ste 202",
"city": "Crossville",
"state": "TN",
"country_code": "US",
"postal_code": "38555",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.
- 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.