Active NPI
Emily Lewis, MD, PHARMD
- Orthopaedic Surgery Physician
- Greenville, SC
National Provider Identifier
1558910778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- LL89968
- Practice address
- 701 Grove Rd
Greenville, SC 29605-4210 - Phone
- (864) 561-1753
- NPI assigned
- Sep 10, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-16034 | MS | |
| Orthopaedic Surgery Physician | 207X00000X | LL89968 | SC | Primary |
Addresses
Primary practice location
701 Grove Rd
Greenville, SC 29605-4210
Mailing address
701 Grove Road
Greenville, SC 29605
Phone (864) 455-6221
Other practice location 1
680 Highway 51 Ste G
Ridgeland, MS 39157-2103
Phone (601) 853-4611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230708000389 | SC | Order and Referring Only - Orthopedic Surgery | 7618336678 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-16034 | MS | MD | Pharmacist |
| LL89968 | SC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Service Drugs LLC | Current | Accepting new patients | |
| Shields Drugs Inc | Past | Accepting new patients |
Locations
680 Highway 51
Ste G
Ridgeland, MS 39157
Phone (601) 853-4611
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Ridgeland, MS
- NPI 1902517733
-
- Community/Retail Pharmacy
- Ridgeland, MS
- NPI 1891861555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1558910778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 GROVE ROAD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29605",
"telephone_number": "864-455-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GROVE RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054210",
"telephone_number": "864-561-1753"
}
],
"practiceLocations": [
{
"address_1": "680 Highway 51 Ste G",
"address_purpose": "LOCATION",
"city": "Ridgeland",
"state": "MS",
"postal_code": "391572103",
"country_code": "US",
"telephone_number": "601-853-4611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "EMILY",
"name_prefix": "Dr.",
"credential": "MD, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-16034",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "LL89968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.