Active NPI
Monica Denise Lewis, FNP
- Nurse Practitioner
- Georgetown, SC
National Provider Identifier
1720742158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F04210486
- Practice address
- 1423 Winyah St
Georgetown, SC 29440-4730 - Phone
- (843) 546-6081
- NPI assigned
- Oct 22, 2021
- Last updated
- Oct 22, 2021
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F04210486 | Other | SC | FNP CERTIFICATION |
| F04210486 | Other | SC | FNP |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F04210486 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| Ohio Valley Physicians Inc | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.