Individual provider Active NPI

Henry Lewis III, MD

  • Obstetrics & Gynecology Physician
  • Goldsboro, NC
National Provider Identifier
1811923501
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
31567 Issued in NC
Practice address
2608 Hospital Rd
Goldsboro, NC 27534-9423
Phone
(919) 735-3464
Fax
(919) 735-0080
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 31567 NC Primary

Addresses

Primary practice location

2608 Hospital Rd
Goldsboro, NC 27534-9423

Mailing address

150 W 100 N
Suite S103
Vernal, UT 84078-2036
Phone (435) 781-1011

Other practice location 1

236 Cottonwood St
Delta, CO 81416-4401
Phone (970) 874-7930

Other identifiers 1

IdentifierTypeStateIssuer
7951806MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hlewis904162@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061018000543 NC Practitioner - Obstetrics/Gynecology 0244236008 Reassigns benefits to 1 organization
I20230324001723 VA Practitioner - Obstetrics/Gynecology 0244236008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Dentistry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinch Valley Physicians Associates LLCGroup PAC ID 9133146111, 24 clinicians

Practice addresses (Care Compare)

398 Clinic Rd
Cedar Bluff, VA 24609-9413
Phone (276) 964-6771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31567NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Current Accepting new patients
Unc Physicians Network LLC Obstetrics & Gynecology CurrentSince Aug 7, 2024 Accepting new patients
Clinch Valley Physicians Associates LLC Obstetrics & Gynecology CurrentSince Jan 9, 2023 Accepting new patients
Clinch Valley Physicians Associates LLC CurrentSince Jan 9, 2023 Accepting new patients
Clinch Valley Physicians Inc Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2608 Hospital Rd
Goldsboro, NC 27534
Phone (919) 735-3464

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

398 Clinic Rd
Cedar Bluff, VA 24609
Phone (276) 963-6600

Interoperability endpoints

  • Direct secure messaging: henry.lewis.1@19847.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: hlewis904162@direct.unc.nchie.net
  • Direct secure messaging: henry.lewisiii@hca6.eclinicaldirectplus.com
  • Direct secure messaging: hlewis@crhn.cernerdirect.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1811923501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 100 N",
            "address_2": "SUITE S103",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782036",
            "telephone_number": "435-781-1011",
            "fax_number": "435-781-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 HOSPITAL RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349423",
            "telephone_number": "919-735-3464",
            "fax_number": "919-735-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Cottonwood St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814164401",
            "country_code": "US",
            "telephone_number": "970-874-7930",
            "fax_number": "970-874-7934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "HENRY",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "31567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7951806",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hlewis904162@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2608 Hospital Rd",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.