IndividualActive
Eric Lewis, ATC
NPI 1932868403 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Jackson, MS
Provider details
- NPI number
- 1932868403
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 110202043 (MS)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense 110202043 (MS)
Allopathic & Osteopathic Physicians
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
1255 E County Line Rd Apt D6
Jackson, MS 39211-1823
Phone: (601) 201-9588
Street-level locationGet directions
Mailing address
1255 E County Line Rd Apt D6
Jackson, MS 39211-1823
Registry dates
- Enumerated
- 2021-12-13
- Last updated
- 2025-09-11
- Certified
- 2021-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.