IndividualActive
Jimmy Lewis
NPI 1730831363 · Skilled Nursing Facility · Medina, TN
Jimmy Lewis is a Skilled Nursing Facility provider in Medina, TN (NPI 1730831363).
Provider details
- NPI number
- 1730831363
- Entity type
- Individual
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0000000308 (TN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
401 Promise Way Ln
Medina, TN 38355-6967
Phone: (731) 462-0020
Fax: (731) 435-3638
Approximate (ZIP-level) locationGet directions
Mailing address
2020 Northpark Dr Ste 2d
Johnson City, TN 37604-3127
Registry dates
- Enumerated
- 2022-01-25
- Last updated
- 2022-01-25
- Certified
- 2022-01-25
Frequently asked questions
- What is Jimmy Lewis's NPI number?
- Jimmy Lewis's National Provider Identifier (NPI) is 1730831363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jimmy Lewis's specialty?
- Jimmy Lewis is listed in the NPPES registry with a primary specialty of Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Jimmy Lewis located?
- Jimmy Lewis's practice location on file with NPPES is 401 Promise Way Ln, Medina, TN 38355-6967.
- What is Jimmy Lewis's phone number?
- The practice phone number listed in the NPPES registry for Jimmy Lewis is (731) 462-0020.
- Is Jimmy Lewis's NPI active?
- Yes — Jimmy Lewis's NPI (1730831363) is active in the NPPES registry as of the last update on 2022-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.