Individual provider Active NPI

Audreanna Lewis-Sholes, CNM

  • Midwife
  • Jackson, MS
National Provider Identifier
1811627565
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
899578 Issued in MS
Practice address
405 Briarwood Dr
Jackson, MS 39206-3052
Phone
(769) 233-8163
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 899578 MS Primary

Addresses

Primary practice location

405 Briarwood Dr
Jackson, MS 39206-3052

Mailing address

143 John Willis Rd
Wiggins, MS 39577-9346
Phone (662) 836-8564

Other names 1

  • Miss Audreanna Lewis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260406002925 AL Practitioner - Certified Nurse Midwife (CNM) 5698240828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

109 Medical Park Dr
Suite B
Andalusia, AL 36420-5364
Phone (334) 222-7337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
899578MSMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of Andalusia LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: audreanna.lewis.1@19364.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1811627565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 JOHN WILLIS RD",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395779346",
            "telephone_number": "662-836-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BRIARWOOD DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063052",
            "telephone_number": "769-233-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-SHOLES",
        "first_name": "AUDREANNA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MS",
            "license": "899578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREANNA",
            "last_name": "LEWIS",
            "prefix": "MISS",
            "credential": "CNM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.