NPIMap

Individual provider Active NPI

Pamela Lewis, FNP-C

  • Family Nurse Practitioner
  • Lake City, SC
National Provider Identifier
1376260554
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06220491 Issued in SC
Practice address
330 Mercy St
Lake City, SC 29560-2332
Phone
(843) 374-9355
NPI assigned
Oct 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06220491 SC Primary

Addresses

Primary practice location

330 Mercy St
Lake City, SC 29560-2332

Mailing address

276 N Ron McNair Blvd
Lake City, SC 29560-2462
Phone (843) 394-5471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230317002449 SC Practitioner - Nurse Practitioner 5799159513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical University Hospital AuthorityGroup PAC ID 1557268950, 218 clinicians
Lower Florence County HosptialGroup PAC ID 6608802152, 4 clinicians

Practice addresses (Care Compare)

148 Sauls St
Lake City, SC 29560-2677
Phone (843) 374-3621

258 N Ron McNair Blvd
Lake City, SC 29560-2462

276 N Ron McNair Blvd
Lake City, SC 29560-2462
Phone (843) 394-5471

500 Thurgood Marshall Hwy
Suite F
Kingstree, SC 29556-4143
Phone (843) 355-1772

511 S Main St
Mullins, SC 29574-3509
Phone (843) 464-8244

Hospital & facility affiliations

  • Centerwell Home Health-Pee Dee Home health agency, Florence, SC, CCN 427854
  • Amedisys Home Health Care Home health agency, Kingstree, SC, CCN 427068
  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091
  • CCN 420117 Hospital, CCN 420117
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06220491SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical University Hospital Authority CurrentSince Jan 16, 2023 Accepting new patients
Medical University Hospital Authority Current Accepting new patients
Medical University Hospital Authority CurrentSince Jan 16, 2023 Accepting new patients
Medical University Hospital Authority Past Accepting new patients

Locations

500 Thurgood Marshall Hwy
Ste F
Kingstree, SC 29556
Phone (843) 355-1774

148 Sauls St
Ste E
Lake City, SC 29560
Phone (843) 374-3621

276 N Ron McNair Blvd
Lake City, SC 29560
Phone (843) 394-1051

148 Sauls St
Ste C
Lake City, SC 29560
Phone (843) 374-3621

511 S Main St
Mullins, SC 29574
Phone (843) 464-8244

Interoperability endpoints

  • Direct secure messaging: pmccray277769@direct.musc.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1376260554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 N RON MCNAIR BLVD",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602462",
            "telephone_number": "843-394-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MERCY ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602332",
            "telephone_number": "843-374-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "PAMELA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F06220491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, SC

Sources for this page

Verify at the official NPI Registry.