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

Jimmy R Lewis

Individual provider Skilled Nursing Facility · NPI 1730831363

Jimmy R Lewis is a Skilled Nursing Facility in Medina, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2022

Practice location Address checks out

401 Promise Way Ln
Medina, TN 38355-6967
Phone: (731) 462-0020
Fax: (731) 435-3638
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 0000000308 (TN)

Record details

NPI number1730831363
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 25, 2022
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022

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