Individual provider Active NPI

Lorraine Jody-Ann Lewis

  • Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1720865306
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5024216 Issued in NC
Practice address
410 College Rd
Greensboro, NC 27410-5151
Phone
(336) 218-0994
Fax
(336) 883-0867
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 5024216 NC Primary

Addresses

Primary practice location

410 College Rd
Greensboro, NC 27410-5151

Mailing address

410 College Rd
Greensboro, NC 27410-5151
Phone (336) 218-0994

Other practice location 1

3402 Battleground Ave
Greensboro, NC 27410-2578
Phone (336) 545-1515

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260505002798 NC Practitioner - Nurse Practitioner 5698243970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethany Medical CenterGroup PAC ID 4486614575, 71 clinicians

Practice addresses (Care Compare)

410 College Rd
Greensboro, NC 27410-5151
Phone (336) 883-0029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-179771ALMDRegistered Nurse
GAA-NP004211GAMDWomen's Health Nurse Practitioner

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1720865306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 COLLEGE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105151",
            "telephone_number": "336-218-0994",
            "fax_number": "336-883-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 COLLEGE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105151",
            "telephone_number": "336-218-0994",
            "fax_number": "336-883-0867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3402 Battleground Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274102578",
            "country_code": "US",
            "telephone_number": "336-545-1515",
            "fax_number": "336-883-0867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LORRAINE",
        "middle_name": "JODY-ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5024216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.