Physician Compare National (NPI:1831160399)

HEALTHCARE PROVIDER: BEVERLY ANN LEWIS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1831160399
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4183707854
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080219000345
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEWIS
	Individual professional last name
Provider First Name	BEVERLY
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	983 US HWY 64 E
	Group Practice or individual's line 1 address
City	PLYMOUTH
	Group Practice or individual's city
State	NC
	Group Practice or individual's state
Zip Code	279629216
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	340133
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MARTIN GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	341314
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WASHINGTON COUNTY HOSP INC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	341304
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	VIDANT BERTIE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	340186
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	VIDANT BEAUFORT HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	341318
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	VIDANT CHOWAN HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1831160399)

HEALTHCARE PROVIDER: BEVERLY ANN LEWIS MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information