Individual provider Active NPI

Jill Carter Lewis, FNP

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1750482824
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2958 Issued in SC
Practice address
2601 Rosewood Dr
Columbia, SC 29205-3745
Phone
(803) 782-4051
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2958 SC Primary

Addresses

Primary practice location

2601 Rosewood Dr
Columbia, SC 29205-3745

Mailing address

PO Box 749306
Atlanta, GA 30374-9306

Other practice location 1

4700 Forest Dr
Columbia, SC 29206-3119
Phone (803) 256-1511

Other identifiers 1

IdentifierTypeStateIssuer
NP1811MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20070417000002 SC Practitioner - Nurse Practitioner 2567565161 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2958SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Urgent Cares LLC CurrentSince Nov 1, 2024 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Nov 29, 2016 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Nov 29, 2016 Accepting new patients
Colonial Family Practice, LLC Family Past Accepting new patients
Colonial Family Practice, LLC Family Past Accepting new patients
Colonial Family Practice, LLC Family Past Accepting new patients

Locations

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

5900 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 233-1019

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

2601 Rosewood Dr
Columbia, SC 29205
Phone (803) 782-4051

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIHIBD

Organizations & group practices 6

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1750482824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749306",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 ROSEWOOD DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292053745",
            "telephone_number": "803-782-4051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292063119",
            "country_code": "US",
            "telephone_number": "803-256-1511",
            "fax_number": "803-256-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JILL",
        "middle_name": "CARTER",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1811",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.