Individual provider Active NPI

Daniel Scott Lewis, MD

  • Family Medicine Physician
  • Greeneville, TN
National Provider Identifier
1902821069
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43801 Issued in TN
Practice address
438 E Vann Rd
Suite 100
Greeneville, TN 37743-7202
Phone
(423) 278-1650
Fax
(423) 787-0243
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 43801 TN
Sports Medicine (Family Medicine) Physician 207QS0010X 43801 TN
Family Medicine Physician 207Q00000X 43801 TN Primary

Addresses

Primary practice location

438 E Vann Rd
Suite 100
Greeneville, TN 37743-7202

Mailing address

PO Box 37087
Baltimore, MD 21297-3087
Phone (828) 687-5616

Other identifiers 3

IdentifierTypeStateIssuer
P00721555OtherTNRAIL ROAD MEDICARE
1507353MedicaidTN
5910234MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080809000141 TN Practitioner - Family PracticePractitioner - Sports MedicinePractitioner - Emergency Medicine 6608871603 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
East Tennessee State University Quillen College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Takoma Regional Hospital IncGroup PAC ID 8729189295, 28 clinicians

Practice addresses (Care Compare)

1404 Tusculum Blvd
Suite 2200
Greeneville, TN 37745-4395
Phone (423) 783-5520

438 E Vann Rd
Greeneville, TN 37743-7202

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Morristown, TN, CCN 447190
  • Amedisys Hospice, an Adventa Company Hospice, Elizabethton, TN, CCN 441534
  • Greeneville Community Hospital Hospital, Greeneville, TN, CCN 440050
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43801TNMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Takoma Regional Hospital Inc Family Medicine CurrentSince Aug 1, 2008 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Sep 1, 2015 Accepting new patients
Takoma Regional Hospital, Inc CurrentSince Aug 1, 2008 Accepting new patients
Tri-Cities Regional Emergency Physicians, PC CurrentSince Sep 12, 2021 Accepting new patients

Locations

1404 Tusculum Blvd
Ste 2200
Greeneville, TN 37745
Phone (423) 783-5520

1744 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 636-8891

401 Takoma Ave
Greeneville, TN 37743
Phone (423) 639-3151

438 E Vann Rd
Ste 100
Greeneville, TN 37743
Phone (423) 278-1700

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

Organizations & group practices 4

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 6

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1902821069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37087",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973087",
            "telephone_number": "828-687-5616",
            "fax_number": "828-650-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 E VANN RD",
            "address_2": "SUITE 100",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377437202",
            "telephone_number": "423-278-1650",
            "fax_number": "423-787-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DANIEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-03-07",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TN",
            "license": "43801",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TN",
            "license": "43801",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "43801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00721555",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507353",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910234",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.