NPIMap

Individual provider Active NPI

James Riddell Lewis, MD

  • Internal Medicine Physician
  • Olive Branch, MS
National Provider Identifier
1821038407
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12853 Issued in MS
Practice address
4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone
(901) 516-1290
Fax
(901) 516-1220
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24119 TN
Emergency Medicine Physician 207P00000X 12853 MS
Hospitalist Physician 208M00000X 12853 MS
Hospitalist Physician 208M00000X 24119 TN
Internal Medicine Physician 207R00000X 12853 MS Primary

Addresses

Primary practice location

4250 Bethel Rd
Olive Branch, MS 38654-8737

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

7691 Poplar Ave
Germantown, TN 38138-3904
Phone (901) 516-1290

Other identifiers 1

IdentifierTypeStateIssuer
C02394OtherMSMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040121000594 MS Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Emergency Medicine 0143122127 Reassigns benefits to 3 organizations
I20210930000769 TN Practitioner - HospitalistPractitioner - Internal Medicine 0143122127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Mississippi School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relias Hospitalist Medicine Specialists of Amory LLCGroup PAC ID 0143656165, 15 clinicians
Methodist Inpatient Physicians LLCGroup PAC ID 1254241235, 123 clinicians

Practice addresses (Care Compare)

1105 Earl Frye Blvd
Amory, MS 38821-5500
Phone (662) 256-7111

4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (901) 516-1290

7691 Poplar Ave
Germantown, TN 38138-3904
Phone (901) 516-1290

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12853MSMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center, Inc. Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Relias Hospitalist Medicine Specialists of Amory LLC Hospitalist CurrentSince Jan 16, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Oct 1, 2015 Accepting new patients
Methodist Inpatient Physicians LLC Internal Medicine CurrentSince Feb 22, 2021 Accepting new patients
Baptist Memorial Hospital-Desoto, Inc, Past Accepting new patients
Monroe Health Services, Inc. Past Accepting new patients
Cogent Healthcare of Mississippi, Inc Internal Medicine Past Accepting new patients
Methodist Healthcare - Olive Branch Hospital Past Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

Interoperability endpoints

  • Direct secure messaging: jameslewis@nmhs.medalliesdirect.net
  • Direct secure messaging: jlewis27464@mlh.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1821038407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 BETHEL RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386548737",
            "telephone_number": "901-516-1290",
            "fax_number": "901-516-1220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7691 Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383904",
            "country_code": "US",
            "telephone_number": "901-516-1290",
            "fax_number": "901-516-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JAMES",
        "middle_name": "RIDDELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "24119",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "12853",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MS",
            "license": "12853",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "24119",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "12853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C02394",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

Verify at the official NPI Registry.