Active NPI
Tina Lewis, FNP
- Nurse Practitioner
- Shelby, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5007810
- Practice address
- 201 E Grover St
Shelby, NC 28150-3917 - Phone
- (704) 512-5124
- NPI assigned
- Jul 11, 2015
- Last updated
- Apr 12, 2022
- 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 | 5007810 | NC | Primary |
Addresses
Primary practice location
201 E Grover St
Shelby, NC 28150-3917
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 512-5363
Other practice location 2
2001 Vail Ave
Charlotte, NC 28207-1248
Phone (704) 512-5363
Other practice location 3
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 512-5363
Other practice location 4
8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 512-5363
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tlewis631420@CarolinasHealthcareSystem.direct-ci.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 E Grover St
Shelby, NC 28150-3917
Phone (704) 512-5124
2280 US Hwy 70 SE
Hickory, NC 28602-5164
Phone (828) 404-3656
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5007810 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Fastmed P.C. | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Fastmed Primary Care, P.C. | Past | Accepting new patients |
Locations
178 Highway 105 Ext
Ste 101
Boone, NC 28607
Phone (828) 265-7146
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
990 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 441-0272
7010 NC Highway 751
Durham, NC 27707
Phone (919) 313-3900
2280 US Highway 70 SE
Hickory, NC 28602
Phone (828) 267-1201
201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000
Interoperability endpoints
- tlewis631420@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 5
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.
-
dba The Sanger Clinic
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Family Medicine Physician
- Durham, NC
- NPI 1629841788
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Carolinas Palliative Care and Hospice Group
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Shelby, NC
- NPI 1730519182
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1912774423
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Cleveland
- General Acute Care Hospital
- Shelby, NC
- NPI 1669348991
-
dba Atrium Health Lincoln
- General Acute Care Hospital
- Lincolnton, NC
- NPI 1730055054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1811371677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E GROVER ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503917",
"telephone_number": "704-512-5124"
}
],
"practiceLocations": [
{
"address_1": "10628 Park Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108407",
"country_code": "US",
"telephone_number": "704-512-5363",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 Vail Ave",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282071248",
"country_code": "US",
"telephone_number": "704-512-5363",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Blythe Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035812",
"country_code": "US",
"telephone_number": "704-512-5363",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8800 N Tryon St",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282623300",
"country_code": "US",
"telephone_number": "704-512-5363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "TINA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-11",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5007810",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tlewis631420@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "N",
"address_1": "1000 Blythe Blvd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282035812",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shelby, NC
- Lee's Transportation Incorporation
- Elizabeth Diane Lemons, PMHNP
- Robert Hilton Lester, M.D.
- Traci D Levy, D.C.
- Jessica Leigh Lewis, AHG
- Life Enrichment Center
- Life Enrichment Center of Cleveland County, Inc.
- Life Enrichment Center of Cleveland County, Inc.
- Life Hearing Solutions, PLLC
- Life Provisions, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.