Don R. Lewis Jr., A.N.P.
Nurse Practitioner in Maryville, TN. Individual provider (NPI-1).
NPI number1790719508
StatusActive
Last updated in NPPESNov 7, 2007
Details
- NPI
- 1790719508
- Entity type
- Individual (NPI-1)
- Name
- Mr. Don R. Lewis Jr.
- Credential
- A.N.P.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2006
- Last updated
- Nov 7, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- Excluded since Jul 20, 2017 (1128a4)
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APN11553 | TN | Yes |
Practice location
907 E Lamar Alexander PkwyMaryville, TN 37804-5015
Phone 865-983-7211
Mailing address
Po Box 634760Cincinnati, OH 45263-0001
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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