Kaylon Andrea Lewis (NPI# 1073055695, PAC ID# 1557642485) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1073055695 |
| PAC ID by PECOS | 1557642485 |
| Professional Enrollment ID | I20170106001740 |
| Full Name | Kaylon Andrea Lewis |
| Organization Legal Name | ST. DOMINIC MEDICAL ASSOCIATES LLC |
| Address |
971 Lakeland Dr Suite 557 Jackson MS 39216-4661 |
| Phone Number | 6012004560 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0446303168 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 971 Lakeland Dr, Suite 557, Jackson, MS 39216-4661 | 6012004560 | ST. DOMINIC MEDICAL ASSOCIATES LLC |
| Organization Legal Name | ST. DOMINIC MEDICAL ASSOCIATES LLC |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly Grubbs Mayhugh | Nurse Practitioner | St. Dominic Medical Associates LLC | 342 Magnolia Dr, Raleigh, MS 39153-6012 |
| Charnell R Cain | Family Medicine | St. Dominic Medical Associates LLC | 1297 W Government St, St Dominic Family Practice Associaties, Brandon, MS 39042-3048 |
| Samuel Hammond Love | Internal Medicine | St. Dominic Medical Associates LLC | 970 Lakeland Dr, Suite 40, Jackson, MS 39216-4640 |
| Tiffany Smith | Nurse Practitioner | St. Dominic Medical Associates LLC | 969 Lakeland Dr, Jackson, MS 39216-4606 |
| J Scott Harrison | Internal Medicine | St. Dominic Medical Associates LLC | 106 Highland Way, 200 St Dominic Surgical Oncology, Madison, MS 39110-6933 |
| Arturo E Blanco | Family Medicine | St. Dominic Medical Associates LLC | 728 Clinton Pkwy, Suite B, Clinton, MS 39056-5227 |
| Jo P Deal | Infectious Disease | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 954, Jackson, MS 39216-4609 |
| Paul E Sheffield | Family Medicine | St. Dominic Medical Associates LLC | 890 Lakeland Dr, Jackson, MS 39216-4644 |
| George E Patton Jr. | Internal Medicine | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 250, Jackson, MS 39216-4620 |
| John Adrian Lancon | Neurosurgery | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 1250, Jackson, MS 39216-4609 |
| Street Address |
971 LAKELAND DR SUITE 557 |
| City | JACKSON |
| State | MS |
| Zip | 39216-4661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jo P Deal | Infectious Disease | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 954, Jackson, MS 39216-4609 |
| George E Patton Jr. | Internal Medicine | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 250, Jackson, MS 39216-4620 |
| John Adrian Lancon | Neurosurgery | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 1250, Jackson, MS 39216-4609 |
| Don T Cannon | Pulmonary Disease | Jackson Pulmonary Associates, Pa | 971 Lakeland Dr, Suite 1052, Jackson, MS 39216-4609 |
| Melodie Carol Brown | Nurse Practitioner | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 557, Jackson, MS 39216-4661 |
| Jamie D Mccollum | Anesthesiology | Physicians Anesthesia Group, P.a. | 971 Lakeland Dr, Suite 202, Jackson, MS 39216-4607 |
| Amanda K Boyanton | Nurse Practitioner | 971 Lakeland Dr, Suite 353, Jackson, MS 39216-4607 | |
| David Glen Mchenry | Neurology | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 557, Jackson, MS 39216-4661 |
| David O Westbrook | Pulmonary Disease | Jackson Pulmonary Associates, Pa | 971 Lakeland Dr, Suite 1052, Jackson, MS 39216-4609 |
| Jeffrey H Glover | General Surgery | David R Carroll,md, Pllc | 971 Lakeland Dr, Suite 656, Jackson, MS 39216-4608 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark O Rester | Psychiatry | 1225 N State St, Jackson, MS 39216 | |
| Jasmine Martin Smith | Physical Therapy | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39216 |
| Lula Johnson | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39216 |
| Olivia Mccay | Registered Dietitian Or Nutrition Professional | Nutrition Systems Wellness LLC | 603 Duling Ave, Suite 207, Jackson, MS 39216-4009 |
| Nosratollah Ghaemmaghami | Internal Medicine | 381 Medical Dr, Jackson, MS 39216-4118 | |
| Julie P Wyatt | Dermatology | 3000 Old Canton Rd, Suite 430, Jackson, MS 39216-4225 | |
| Nancy H Goldman | Certified Clinical Nurse Specialist (cns) | 3000 Old Canton Rd, Suite 465, Jackson, MS 39216-4225 | |
| Louis Wise Jr. | Dermatology | 3000 Old Canton Rd, Suite 430, Jackson, MS 39216-4225 | |
| Thomas H Cabell | Ophthalmology | 3000 Old Canton Rd, Suite 405, Jackson, MS 39216-4234 | |
| Albert T Williams | Ophthalmology | A.terrel Williams, Md, Pllc | 3000 Old Canton Rd, Suite 305, Jackson, MS 39216-4245 |
| Find all physicians in zip 39216 | |||
| City | JACKSON |
| Zip Code | 39216 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kaylon Andrea Lewis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.