Active NPI
Cori Lewis, M.D.
- Pediatrics Physician
- Raleigh, NC
National Provider Identifier
1629501317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2020-02622
- Practice address
- 4109 Wake Forest Rd Ste 300
Raleigh, NC 27609-2508 - Phone
- (919) 250-3478
- NPI assigned
- Apr 10, 2017
- Last updated
- Dec 23, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2020-02622 | NC | Primary |
Addresses
Primary practice location
4109 Wake Forest Rd Ste 300
Raleigh, NC 27609-2508
Mailing address
4109 Wake Forest Rd Ste 300
Raleigh, NC 27609-2508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-02622 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids First Pediatrics of Raleigh, PLLC | Pediatrics | Current | Accepting new patients |
Locations
400 Athletic Club Blvd
Unit 101
Clayton, NC 27527
Phone (919) 267-1499
4109 Wake Forest Rd
Ste 300
Raleigh, NC 27609
Phone (919) 250-3478
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHHGAA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kids First Pediatrics of Clayton
- Pediatrics Physician
- Raleigh, NC
- NPI 1700057486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1629501317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4109 WAKE FOREST RD STE 300",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276092508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4109 WAKE FOREST RD STE 300",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276092508",
"telephone_number": "919-250-3478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CORI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-10",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2020-02622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.