Individual provider Active NPI

Monica Denise Lewis, FNP

  • Nurse Practitioner
  • Georgetown, SC
National Provider Identifier
1720742158
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F04210486 Issued in SC
Practice address
1423 Winyah St
Georgetown, SC 29440-4730
Phone
(843) 546-6081
NPI assigned
Oct 22, 2021
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F04210486 SC Primary

Addresses

Primary practice location

1423 Winyah St
Georgetown, SC 29440-4730

Mailing address

1501 Big Bay Rd
Andrews, SC 29510-5361
Phone (843) 325-9783

Other identifiers 2

IdentifierTypeStateIssuer
F04210486OtherSCFNP CERTIFICATION
F04210486OtherSCFNP

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL CareCloud Health Information Exchange (HIE)
CONNECT URL CareCloud Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F04210486SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc CurrentSince Dec 1, 2022 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Dec 1, 2022 Accepting new patients

Locations

1423 Winyah St
Georgetown, SC 29440
Phone (843) 546-6081

2102 Cromley Cir
Ste A
Myrtle Beach, SC 29577
Phone (843) 999-0064

441 N Main St
Sumter, SC 29150
Phone (803) 750-5080

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

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1720742158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BIG BAY RD",
            "city": "ANDREWS",
            "state": "SC",
            "postal_code": "295105361",
            "telephone_number": "843-325-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 WINYAH ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294404730",
            "telephone_number": "843-546-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MONICA",
        "middle_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "F04210486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP CERTIFICATION",
            "identifier": "F04210486",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "F04210486",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CareCloud",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1423 Winyah St",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294404730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CareCloud",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1423 Winyah St",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294404730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

Verify at the official NPI Registry.