JACK COVINGTON LEWIS M.D.
NPI 1396013413
General Practice in Salisbury, MD

Q: What is Jack Lewis's NPI number?

The NPI number for Jack Lewis is 1396013413. It was assigned to this individual provider in the NPPES registry on December 3, 2011.

Q: What is Jack Lewis's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Lewis was last updated on December 3, 2011. 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.

Active since December 03, 2011PECOS Enrolled

1100 WOODLAND RD, SALISBURY, MD 21801(410) 742-8679 Get Directions Write a Review

NPPES record last updated: December 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jack Covington Lewis M.d. NPPES

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

JACK COVINGTON LEWIS M.D. (NPI 1396013413) is an individual general practice provider in Salisbury, Maryland, licensed in Maryland (D0006783) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396013413

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameJACK COVINGTON LEWISCredential: M.D.

Location Address1100 WOODLAND RDSalisbury, MD 21801-6730

Mailing Address1100 Woodland RdSalisbury, MD 21801-6730

Phone(410) 742-8679

Sole ProprietorYes

Enumeration DateDecember 3, 2011

✔ NPI 1396013413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MD · D0006783

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1100 WOODLAND RD, Salisbury, MD 21801

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Covington Lewis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jack Lewis's NPI number?

The NPI number for Jack Lewis is 1396013413. It was assigned to this individual provider in the NPPES registry on December 3, 2011.

Where is Jack Lewis located?

Jack Lewis practices at 1100 Woodland Rd, Salisbury, MD 21801. The listed phone number is (410) 742-8679.

What is Jack Lewis's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jack Lewis enrolled in Medicare?

Yes. Jack Lewis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Lewis was last updated on December 3, 2011. 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.