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MRS. TORI N SIMMONS LEWIS DPM
NPI 1891007639
Podiatrist - Foot Surgery in Charlotte, NC

Active since July 09, 2010PECOS Enrolled
3506 W TYVOLA RD, CHARLOTTE, NC 28208(704) 329-1300 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2024, Nov 19, 2015 (2 updates tracked since 2015).

About Mrs. Tori N Simmons Lewis Dpm NPPES

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

MRS. TORI N SIMMONS LEWIS DPM (NPI 1891007639) is an individual foot surgery provider in Charlotte, North Carolina, licensed in North Carolina (594) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891007639
Entity TypeIndividualFemale
Primary Taxonomy213ES0131X
Provider Legal NameMRS. TORI N SIMMONS LEWISCredential: DPM
Location Address3506 W TYVOLA RDCharlotte, NC 28208-7201
Mailing Address3506 W Tyvola RdCharlotte, NC 28208-7201 · (704) 329-1300
Phone(704) 329-1300
Sole ProprietorNo
Enumeration DateJuly 9, 2010
Last NPPES UpdateJanuary 4, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1891007639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in NC · 594
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License 594 (NC)
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 594 (NC)
3506 W TYVOLA RD, Charlotte, NC 28208
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tori N Simmons Lewis Dpm 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.

Medicare Billing Reassignment

Medicare enrollment records show Tori Simmons Lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gooden Mobile Pod Nc PLLC
109 mi
Podiatrist
311 MCFADYEN DR
Fayetteville, NC 28314
  • Reassigned Medicare billing, North Carolina enrollment
  • 20 clinicians in this Medicare group
NPI 1073003752 (502) 244-2441

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID AARON RUDD D.O.
Internal Medicine (Infectious Disease)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
AVIANNA JHANE MARCELIN
Social Worker (Clinical)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
JERICA RACHEL TEELUCKSINGH
Physical Therapy Assistant
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
MS. EMILY ANNE LUPSOR MSW, LCSW
Social Worker (Clinical)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
MR. DAVID E ELLIS III
Technician, Pathology (Phlebotomy)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
DR. KATHY DIANE HALVERSON OD
Optometrist
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300
JENNIFER L MERRITT NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 884-1986
KAREN PRISCILLA CORREA RDN
Dietitian, Registered
3506 W TYVOLA RD
CHARLOTTE, NC 28208
Mecklenburg County (704) 329-1300

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 Tori Simmons Lewis's NPI number?

The NPI number for Tori Simmons Lewis is 1891007639. It was assigned to this individual provider in the NPPES registry on July 9, 2010.

Where is Tori Simmons Lewis located?

Tori Simmons Lewis practices at 3506 W Tyvola Rd, Charlotte, NC 28208. The listed phone number is (704) 329-1300.

What is Tori Simmons Lewis's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Tori Simmons Lewis enrolled in Medicare?

Yes. Tori Simmons Lewis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tori Simmons Lewis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tori Simmons Lewis reassigns Medicare benefits to Gooden Mobile Pod Nc PLLC (Fayetteville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tori Simmons Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tori Simmons Lewis was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.