Shelly M Lewis, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD60825921 Issued in WA

Practice address

501 19TH St Ste 401
Knoxville, TN 37916-1831

Phone

(865) 331-2020

Fax

(865) 331-1976

NPI assigned

May 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Shelly M Compton Former name

Medicare fee-for-service enrollment

Enrolled in WA, TN2 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

Specialty

Obstetrics/Gynecology

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Sanders Perinatal CenterGroup PAC ID 3577505536, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

Procedures performed for Medicare patients

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.

• Fort Sanders Perinatal Center

  • Maternal & Fetal Medicine Physician
  • Knoxville, TN
  • NPI 1003811381
  Medicare reassignment Care Compare group NPD
• Women'S Health Specialists, PLLC

  • Obstetrics & Gynecology Physician
  • Murfreesboro, TN
  • NPI 1093802068
  Medicare reassignment NPD
• Obhg Washington, PC

  • Obstetrics & Gynecology Physician
  • Silverdale, WA
  • NPI 1962729525
  Medicare reassignment NPD
• Valley Medical Group-Renton

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1619209574
  Medicare reassignment NPD
• Leconte Women'S Healthcare Associates, PC

  • Obstetrics & Gynecology Physician
  • Sevierville, TN
  • NPI 1053347492
  NPD

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

• Fort Sanders Regional Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1942294814
  Care Compare affiliation

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1609287358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY STE 118",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201540",
            "telephone_number": "865-305-9306",
            "fax_number": "865-305-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 19TH ST STE 401",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161831",
            "telephone_number": "865-331-2020",
            "fax_number": "865-331-1976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1928 Alcoa Hwy Ste 118",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201540",
            "country_code": "US",
            "telephone_number": "865-305-8787",
            "fax_number": "865-305-8260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4011 Talbot Rd S Ste 430",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "98055",
            "country_code": "US",
            "telephone_number": "425-656-2496",
            "fax_number": "425-572-6150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHELLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": "626001636",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD60825921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q064033",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "COMPTON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Lewis, LPN
• Ramona Rolanda Lewis, LPN
• Roderick Lewellyn Lewis, B.S. , M.A. LPC/MHSP
• Samantha Dawn Lewis
• Shannon R Lewis, MD
• Steven Alexander Lewis, LPC-MHSP
• William Lewis, HS
• Eddie Lezaj
• LHCG Cxxxii, LLC
• Baoqiang Li, MD

• Obstetrics & Gynecology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.