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

Individual provider Marriage & Family Therapist · NPI 1083237598

Khadijah Jean-Marie Lewis is a Marriage and Family Therapist in Charlotte, North Carolina. Qualified in 2021, 5 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2020
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Practice location Address checks out

6324 Fairview Rd Ste 460
Charlotte, NC 28210-3374
Phone: (980) 302-8611
Fax: (980) 302-8624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6633 Fairview Rd, Charlotte, NC 28210-3321 — (704) 366-1264

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 00268 (NC)

Record details

NPI number1083237598
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 19, 2020
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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