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DR. WILLIE JAMES LEWIS SR. D.P.M.
NPI 1972537041
Podiatrist - Primary Podiatric Medicine in Jackson, MS

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
128 POINDEXTER ST, JACKSON, MS 39203(601) 355-0026(601) 355-0069 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Willie James Lewis Sr. D.p.m. NPPES

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

DR. WILLIE JAMES LEWIS SR. D.P.M. (NPI 1972537041) is an individual primary podiatric medicine provider in Jackson, Mississippi, licensed in Mississippi (80062) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1980).

NPPES Registry Identity

NPI1972537041
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameDR. WILLIE JAMES LEWIS SR.Credential: D.P.M.
Location Address128 POINDEXTER STJackson, MS 39203-3048
Mailing Address128 Poindexter StJackson, MS 39203-3048 · (601) 355-0026 · Fax (601) 355-0069
Phone(601) 355-0026
Fax(601) 355-0069
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1980
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972537041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in MS · 80062
128 POINDEXTER ST, Jackson, MS 39203
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Willie James Lewis Sr. D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890765796
PECOS Enrollment IDI20040728001070
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 Willie Lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Mississippi Civic Improvement Association, Inc
0.4 mi
Federally Qualified Health Center (FQHC)
327 S GALLATIN ST
Jackson, MS 39203
  • Reassigned Medicare billing, Mississippi enrollment
  • 69 clinicians in this Medicare group
NPI 1205021946 (601) 362-5321

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 2

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

MISSISSIPPI FOOT CLINIC, INC
Podiatrist (Foot & Ankle Surgery)
128 POINDEXTER ST
JACKSON, MS 39203
Hinds County (601) 355-0026
DAVIS PODIATRY, LLC
Podiatrist (Foot & Ankle Surgery)
128 POINDEXTER ST
JACKSON, MS 39203
Hinds County (601) 355-0026

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 Willie Lewis's NPI number?

The NPI number for Willie Lewis is 1972537041. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Willie Lewis located?

Willie Lewis practices at 128 Poindexter St, Jackson, MS 39203. The listed phone number is (601) 355-0026.

What is Willie Lewis's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Willie Lewis enrolled in Medicare?

Yes. Willie Lewis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Willie Lewis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willie Lewis reassigns Medicare benefits to Central Mississippi Civic Improvement Association, Inc (Jackson, MS). 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 Willie Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Willie Lewis accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Willie Lewis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willie Lewis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.