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

Patrick Tarrance Lewis, PA

Individual provider Physician Assistant · NPI 1992418727

Patrick Tarrance Lewis, PA is a Physician Assistant in Jackson, Mississippi. Qualified in 2022, 4 years ago. Practices with Peacehealth Networks on Demand LLC, a 201-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1850 Chadwick Dr
Jackson, MS 39204-3404
Phone: (601) 376-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1992418727
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 26, 2022
Last updated in NPPESDecember 26, 2022
Certification dateDecember 24, 2022

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 Peacehealth Networks On Demand Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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