DEMETRIUS VINDE LEWIS NPI 1295093086

NPI Information

  • NPI: 1295093086
  • Provider Name: DEMETRIUS VINDE LEWIS
  • Classification: Nursing Home Administrator - 376G00000X
  • Entity Type: Individual
  • Address: 1314 PAGODA DR
    COLUMBUS, GA
    ZIP 31907
  • Phone: (706) 593-8727

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NPI Details

Demetrius Vinde Lewis is a nursing home administrator in Columbus, GA. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. Demetrius Vinde Lewis NPI is 1295093086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1314 PAGODA DR
COLUMBUS, GA
ZIP 31907-439
Phone: (706) 593-8727

The enumeration date for this NPI number is 4/30/2012 and was last updated on 4/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical NurseLPN052272GEORGIANo
2376G00000XNursing Home AdministratorNIIA005224GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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