Active NPI
Ann A Lewis, FNP-C
- Family Nurse Practitioner
- Clinton, NC
National Provider Identifier
1578563201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200386
- Practice address
- 408 Fairview St
Clinton, NC 28328-2312 - Phone
- (910) 596-2400
- Fax
- (910) 596-2502
- NPI assigned
- Jul 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200386 | NC | Primary |
Addresses
Primary practice location
408 Fairview St
Clinton, NC 28328-2312
Mailing address
408 Fairview St
Clinton, NC 28328-2312
Phone (910) 596-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000106 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21619 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center, Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients |
Locations
408 Fairview St
Clinton, NC 28328
Phone (910) 596-2400
444 SW Center St
Faison, NC 28341
Phone (910) 267-0421
Interoperability endpoints
- alewis@goshenmedical.cloudcraftdirect.com
Organizations & group practices 3
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.
-
dba Goshen Medical Center - Duplin
- Federally Qualified Health Center (FQHC)
- Kenansville, NC
- NPI 1962124974
-
- Federally Qualified Health Center (FQHC)
- Faison, NC
- NPI 1154378933
-
dba GMC Pharmacy at Rockingham
- Federally Qualified Health Center (FQHC)
- Rockingham, NC
- NPI 1457181323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1578563201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 FAIRVIEW ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282312",
"telephone_number": "910-596-2400",
"fax_number": "910-596-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 FAIRVIEW ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282312",
"telephone_number": "910-596-2400",
"fax_number": "910-596-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ANN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-22",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "200386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000106",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, NC
- Lois Dene Lee, MSW,LCSW
- Joseph Cameron Leggett
- J. Jeffrey Leinwand, O.D.
- Tara Lynn Lemister, PHARMD
- Morgan Alyse Lewis-Ortiz
- Michele Therese Lewis, CRNA
- Paige Lewis, MS, CCC/SLP
- Tracy Lewis, LCSW
- Liberty Healthcare Group LLC (Southwood Nursing and Retirement Center)
- Liberty Healthcare Group LLC (Mary Gran Nursing Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.