Willie James Lewis Sr., D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

80062 Issued in MS

Practice address

128 Poindexter St
Jackson, MS 39203-3048

Phone

(601) 355-0026

Fax

(601) 355-0069

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Mississippi Civic Improvement Association, IncGroup PAC ID 4183533235, 48 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: willie.lewis@jhchc.eclinicaldirectplus.com

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.

• Central Mississippi Civic Improvement Association, Inc

  dba Jackson Hinds Comprehensiv Health Center

  • Federally Qualified Health Center (FQHC)
  • Jackson, MS
  • NPI 1134151442
  Medicare reassignment Care Compare group NPD
• Central Mississippi Civic Improvement Association, Inc.

  dba Jackson Hinds Comprehensive Health Center Unit 7

  • Federally Qualified Health Center (FQHC)
  • Jackson, MS
  • NPI 1215744396
  NPD
• Central Mississippi Civic Improvement Association, Inc.

  dba Jackson-Hinds Comprehensive Health Center Edwards Site

  • Federally Qualified Health Center (FQHC)
  • Edwards, MS
  • NPI 1346684826
  NPD
• Davis Podiatry, LLC

  • Foot & Ankle Surgery Podiatrist
  • Jackson, MS
  • NPI 1912273814
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972537041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 POINDEXTER ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392033048",
            "telephone_number": "601-355-0026",
            "fax_number": "601-355-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 POINDEXTER ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392033048",
            "telephone_number": "601-355-0026",
            "fax_number": "601-355-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "WILLIE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MS",
            "license": "80062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Tarrance Lewis, PA
• Samuel B. Lewis, DPT
• Sherry Shawonda Lewis
• Tara Clare Lewis, MD
• Virginia Denise Lewis, PMHNP
• Alyssa Case Lewman, NP
• LHC Medical Supplies
• LHCG Lxvi, LLC (Mississippi Hospice)
• Xuan Li, MD
• Christine Rose Liberto

• Primary Podiatric Medicine Podiatrist in Jackson, MS
• Providers in Jackson, MS by specialty
• Primary Podiatric Medicine Podiatrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.