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

Dr. Alan Lewis, MD

Individual provider Dermatology Physician · NPI 1912090143

Dr. Alan Lewis, MD is a Dermatology in Gulfport, Mississippi. Qualified in 1997, 29 years ago. Practices with Tulane Dermatology Affiliates, a 2-clinician group and accepts Medicare assignment. Licensed in Louisiana and Mississippi.

Years since qualifying
29
Licensed in
LA, MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1245 42nd Ave
Gulfport, MS 39501-2666
Phone: (228) 864-8049
Fax: (228) 864-7655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 14710R (LA)
Dermatology Physician Taxonomy 207N00000X · Licence 17858 (MS)

Record details

NPI number1912090143
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 2, 2006
Last updated in NPPESFebruary 5, 2014

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Tulane Dermatology Affiliates — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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