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

Kimberly Jean Lis, MD

Individual provider Family Medicine Physician · NPI 1235104498

Kimberly Jean Lis, MD is a Family Practice in Lewisville, North Carolina. Graduated from University of Virginia School of Medicine in 2002, 24 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
24
Trained at
University of Virginia School of Medicine
Licensed in
NC
In the registry since
2006
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

1225 Lewisville Clemmons Rd
Lewisville, NC 27023-8251
Phone: (336) 712-0700
Fax: (336) 712-0876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2005-00855 (NC)

Record details

NPI number1235104498
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 21, 2006
Last updated in NPPESOctober 28, 2020
Certification dateSeptember 6, 2020
Mailing addressPo Box 751803, Charlotte, NC 28275-1803

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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