Dante Neisone Lewis, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2019-00846 Issued in NC

Practice address

3940 Arrowhead Blvd Ste 270
Mebane, NC 27302-7637

Phone

(919) 563-0202

Fax

(919) 563-0242

NPI assigned

Dec 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Scotland Memorial Hospital Inc

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1477791507
  Medicare reassignment NPD
• Eastern Carolina Pediatric Associates

  • Pediatrics Physician
  • Florence, SC
  • NPI 1992749220
  Medicare reassignment NPD
• Georgetown Memorial Hospital

  • General Acute Care Hospital
  • Georgetown, SC
  • NPI 1982604021
  Medicare reassignment NPD
• Waccamaw Community Hospital

  • General Acute Care Hospital
  • Murrells Inlet, SC
  • NPI 1972503910
  Medicare reassignment NPD
• Scotland Memorial Hospital, Inc

  • Gastroenterology Physician
  • Laurinburg, NC
  • NPI 1417173899
  NPD
• Georgetown Memorial Hospital

  • Skilled Nursing Facility
  • Georgetown, SC
  • NPI 1881307056
  NPD
• Burlington Pediatrics PA

  • Pediatrics Physician
  • Burlington, NC
  • NPI 1841378296
  NPD (past)

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1508843442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W WEBB AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173706",
            "telephone_number": "336-228-8316",
            "fax_number": "336-227-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 ARROWHEAD BLVD STE 270",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027637",
            "telephone_number": "919-563-0202",
            "fax_number": "919-563-0242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3804 S Church St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272159134",
            "country_code": "US",
            "telephone_number": "336-524-0304",
            "fax_number": "336-584-4387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 W Webb Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272173706",
            "country_code": "US",
            "telephone_number": "336-228-8316",
            "fax_number": "336-227-9750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DANTE",
        "middle_name": "NEISONE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2019-00846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL LICENSE",
            "identifier": "30392",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4001444",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9630227",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "20069023",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA23878552",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL LICENSE",
            "identifier": "2019-00846",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303923",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVOLUTIONS",
            "identifier": "18500",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908146",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Lankford, OT/L
• Rachelle Leckie
• Dayena Lee, DDS
• Kandice Lee, DDS
• Sherika Aldameka Lee
• Jessica Zexi Liang
• Life Mental Health
• Loving, Caring, Hands
• Antionette Lunsford
• Keri Wolfe Macdonald, BSN,MSN,FNP

• Pediatrics Physician in Mebane, NC
• Providers in Mebane, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.