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

Mr. Jeffrey Thomas Lewis Jr., PA-C

Individual provider Physician Assistant · NPI 1053010256

Mr. Jeffrey Thomas Lewis Jr., PA-C is a Physician Assistant in Powell, Tennessee. Qualified in 2022, 4 years ago. Practices with Champion Physical Therapy LLC Halls, a 280-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Tennessee.

Years since qualifying
4
Licensed in
PA, TN
In the registry since
2023
Specialties on file
2
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

7680 Dannaher Dr
Powell, TN 37849-4052
Phone: (865) 521-8050
Fax: (865) 544-5816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 561 W Trout Run Rd, Ephrata, PA 17522-9604 — (717) 394-5088

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA6077 (TN)
Physician Assistant Taxonomy 363A00000X · Licence MA064392 (PA)

Record details

NPI number1053010256
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 27, 2023
Last updated in NPPESJuly 25, 2024
Certification dateMarch 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Champion Physical Therapy Llc Halls — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Powell