Charles Andrew Lewis II, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

02478 Issued in NC

Practice address

102 W Main St
Wallace, NC 28466-2902

Phone

(910) 659-3816

NPI assigned

Mar 26, 2015

Last updated

Jan 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Goshen Medical Center IncorporatedGroup PAC ID 3173434479, 96 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Goshen Medical Center, Incorporated

  dba Goshen Medical Center - Duplin

  • Federally Qualified Health Center (FQHC)
  • Kenansville, NC
  • NPI 1962124974
  Medicare reassignment Care Compare group NPD
• Focused Addiction Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wallace, NC
  • NPI 1053052134
  NPD
• Goshen Medical Center Incorporated

  dba GMC Pharmacy at Rockingham

  • Federally Qualified Health Center (FQHC)
  • Rockingham, NC
  • NPI 1457181323
  NPD
• Goshen Medical Center, Inc.

  dba Goshen Medical Center-Jacksonville

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, NC
  • NPI 1801676994
  NPD
• Goshen Medical Center Incorporated

  dba Goshen Medical Center - Mount Olive Mobile Unit

  • Federally Qualified Health Center (FQHC)
  • Mount Olive, NC
  • NPI 1700901287
  NPD (past)

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1699169748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W MAIN ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662902",
            "telephone_number": "910-659-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W MAIN ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284662902",
            "telephone_number": "910-659-3816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 Michael Angelo Ste 400",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785391405",
            "country_code": "US",
            "telephone_number": "956-362-3552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHARLES",
        "middle_name": "ANDREW",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "02478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN IN TRAINING (RESIDENT)",
            "identifier": "591452",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31468",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kidzcare Pediatrics, PC
• Ashley B King, PA-C
• Mary E King, DC
• Jennifer Cavenaugh Knowles
• Courtney Lanier
• Liberty Home Care, LLC (Liberty Home Care and Hospice)
• Glenn James Lundy, D.C.
• Maryann E. Luxeder, DC OF CHIROPRACTIC
• Allison Mathis
• Victoria Baucom Matthews, FNP

• General Practice Physician in Wallace, NC
• Providers in Wallace, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.