Jack Covington Lewis, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D0006783 Issued in MD

Practice address

1100 Woodland Rd
Salisbury, MD 21801-6730

Phone

(410) 742-8679

NPI assigned

Dec 3, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1322870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322870400000",
    "number": "1396013413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WOODLAND RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WOODLAND RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016730",
            "telephone_number": "410-742-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JACK",
        "middle_name": "COVINGTON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-03",
        "last_updated": "2011-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0006783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Levert Counseling Services LLC
• David Michael Levert, LCSW-C
• Lewis Primary Care, P.a.
• Karen Lewis-Dryden, CT-AD
• Betty-Jo Lewis, LGSW
• Jean Ann Lewis, DMD
• Makaila Raelyn Lewis
• Sarah Minkel Lewis, P.T.
• Vincent Walter Lewis, PA-C
• Taoran Li

• General Practice Physician in Salisbury, MD
• Providers in Salisbury, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.