Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chelby Lewis, PA-C

Individual provider Physician Assistant · NPI 1205558459

Chelby Lewis, PA-C is a Physician Assistant in Troy, Michigan. Qualified in 2022, 4 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-8193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 807 E Lincoln Ave, Royal Oak, MI 48067-3357 — (307) 254-4087
  • 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 — (248) 964-9715

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011403 (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1205558459
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 14, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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