Willie J Lewis Sr. (NPI# 1972537041, PAC ID# 5890765796) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1972537041 |
| PAC ID by PECOS | 5890765796 |
| Professional Enrollment ID | I20040728001070 |
| Full Name | Willie J Lewis Sr. |
| Organization Legal Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Address |
350 W Woodrow Wilson Ave Jackson MS 39213-7681 |
| Phone Number | 6017095130 |
| Gender | M |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4183533235 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 6017095130 | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Organization Legal Name | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaleen D Sims | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Ericia Latrice Cannon | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 145 Raymond Rd, Jackson, MS 39204-3802 |
| Latoya P Johnson | Physician Assistant | Central Mississippi Civic Improvement Association, Inc | 550 Caldwell Dr, Hazlehurst, MS 39083-2304 |
| Elaine Hargrove | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 327 S Gallatin St, Jackson, MS 39203-3514 |
| Lashondra J Farmer-whitlock | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 1860 Chadwick Dr, Suite 254, Jackson, MS 39204-3472 |
| Tesia Shani Hall-hill | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Bob Hutchins | Family Medicine | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Kevin Galloway | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Candice L Coleman | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Samuel F Brown | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 129 White Oak St, Utica, MS 39175-8803 |
| Street Address |
350 W WOODROW WILSON AVE |
| City | JACKSON |
| State | MS |
| Zip | 39213-7681 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niki Singletary | Physical Therapy | 350 W Woodrow Wilson Ave, Suite 370c, Jackson, MS 39213-7692 | |
| Roslyn I Smith | Clinical Social Worker | Tamar Group LLC | 350 W Woodrow Wilson Ave, Suite 3572, Jackson, MS 39213-7681 |
| Rachel N Ford | Nurse Practitioner | Mississippi State Department of Health | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda B. Greene | Nurse Practitioner | State of Mississippi-university of Mississippi Medical Center | 350 W Woodrow Wilson Dr, Cancer Institute, Jackson, MS 39213 |
| Jaleen D Sims | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Iesha Renee Williams | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Nobel D Attipoe | Obstetrics/gynecology | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Keila L Brown | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Tritresher Sizer | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Willye A Bell | Certified Nurse Midwife (cnm) | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Jan M Hausmann | Internal Medicine | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Sonia L Walker | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Barbara L Tapps | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 3502 W Northside Dr, Jackson, MS 39213-4454 |
| Find all physicians in zip 39213 | |||
| City | JACKSON |
| Zip Code | 39213 |
| Specialty | PODIATRY |
| City + Specialty | JACKSON + PODIATRY |
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| 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.