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

Kimberly A Lewis, PA-C

Individual provider Physician Assistant · NPI 1669592457

Kimberly A Lewis, PA-C is a Physician Assistant in Jacksonville, North Carolina. Graduated from George Washington University School of Medicine in 2000, 26 years ago. Practices with Proactive Therapy of North Carolina Inc, a 565-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
26
Trained at
George Washington University School of Medicine
Licensed in
NC
In the registry since
2007
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

118 Memorial Dr
Jacksonville, NC 28546-6328
Phone: (910) 353-0581
Fax: (910) 577-1150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 152 Memorial Ct, Jacksonville, NC 28546-6322 — (910) 346-3976
  • 120 Memorial Dr, Jacksonville, NC 28546-6328 — (910) 353-0581

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103307 (NC)

Record details

NPI number1669592457
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Proactive Therapy Of North Carolina Inc — 565 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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