Individual provider Active NPI

Alexis Sherron Lewis, PA-C

  • Medical Physician Assistant
  • Bethesda, MD
National Provider Identifier
1669929030
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0006156 Issued in MD
Practice address
8901 Wisconsin Ave
3Rd Floor, BLDG. 317
Bethesda, MD 20889-5638
Phone
(301) 400-1016
NPI assigned
Sep 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0006156 MD Primary

Addresses

Primary practice location

8901 Wisconsin Ave
3Rd Floor, BLDG. 317
Bethesda, MD 20889-5638

Mailing address

8901 Wisconsin Ave
3Rd Floor, BLDG. 317
Bethesda, MD 20889-5638
Phone (301) 400-1016

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL alexis.s.lewis8.ctr@health.mil

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103000680 MD Practitioner - Physician Assistant 2567740004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Maryland Pain Management, LLC CurrentSince Aug 1, 2016 Accepting new patients
Greater Maryland Pain Management, LLC CurrentSince Aug 1, 2016 Accepting new patients

Locations

1130 Annapolis Rd
Ste 100
Odenton, MD 21113
Phone (703) 347-1962

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.

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1669929030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "address_2": "3RD FLOOR, BLDG. 317",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895638",
            "telephone_number": "301-400-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "address_2": "3RD FLOOR, BLDG. 317",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895638",
            "telephone_number": "301-400-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ALEXIS",
        "middle_name": "SHERRON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0006156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alexis.s.lewis8.ctr@health.mil",
            "affiliation": "N",
            "address_1": "8901 Wisconsin Ave",
            "address_2": "3rd Floor, Bldg 317",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208895638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.