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DEMETRIUS VINDE LEWIS
NPI 1295093086
Nursing Home Administrator in Columbus, GA

Active since April 30, 2012
1314 PAGODA DR, COLUMBUS, GA 31907(706) 593-8727 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Demetrius Vinde Lewis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRIUS VINDE LEWIS (NPI 1295093086) is an individual nursing home administrator provider in Columbus, Georgia, licensed in Georgia (NIIA005224) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1295093086
Entity TypeIndividualMale
Primary Taxonomy376G00000X
Provider Legal NameDEMETRIUS VINDE LEWIS
Location Address1314 PAGODA DRColumbus, GA 31907-4439
Mailing Address1314 Pagoda DrColumbus, GA 31907-4439 · (706) 593-8727
Phone(706) 593-8727
Sole ProprietorYes
Enumeration DateApril 30, 2012
✔ NPI 1295093086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers
Taxonomy Code376G00000X
License✔ Licensed in GA · NIIA005224
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License LPN052272 (GA)
1314 PAGODA DR, Columbus, GA 31907
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetrius Lewis's NPI number?

The NPI number for Demetrius Lewis is 1295093086. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Demetrius Lewis located?

Demetrius Lewis practices at 1314 Pagoda Dr, Columbus, GA 31907. The listed phone number is (706) 593-8727.

What is Demetrius Lewis's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Demetrius Lewis was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.