Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699169748 Individual Practitioner Male Practitioner

Dr. Charles Andrew Lewis , MD

General Practice • Wallace, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Lewis, MD is a certified General Practice practicing in Wallace, NC. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Lewis delivers high-quality medical care to the local community at 102 W MAIN ST.

Dr. Lewis is affiliated with Goshen Medical Center, Incorporated and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

102 W Main St

Wallace, NC 284662902

Telephone 9106593816
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Wallace, NC

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs Matches City Avg
City Avg: 14.0 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Wallace, NC (265 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lewis (14 Years) 14 Yrs
Wallace Specialty Average (14.0 Years) 14.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-27
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NC 02478

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
31468 (NC)
Commercial Insurance / Payer ID Physician In Training (Resident)
591452 (TX)

Hospital & Practice Group Affiliations

Goshen Medical Center, Incorporated

444 Sw Ctr St, Faison, NC 283418820

Phone: 9102670421

Goshen Medical Center, Incorporated

460 Sw Ctr St, Faison, NC 283418820

Phone: 9102670951

Secondary Practice Locations

2821 Michael Angelo Ste 400

Edinburg, TX 785391405

Phone: 9563623552

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Charles Walton , PA

Physician Assistant

NPI 1790019800

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2026

General Practice (License #02478 in NC)

📍
Updated Practice Location October 23, 2024

Registered at 102 W MAIN ST, WALLACE, NC 284662902 (Tel: 9106593816)

📍
Updated Business Mailing Address October 23, 2024

Registered at 102 W MAIN ST, WALLACE, NC 284662902 (Tel: 9106593816)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2024

Family Medicine (License #02478 in NC)

NPI Profile Active July 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2016

Registered at 2821 MICHAEL ANGELO STE 400, EDINBURG, TX 785391405 (Tel: 9563623552)

📍
Updated Business Mailing Address July 19, 2016

Registered at 2821 MICHAEL ANGELO STE 400, EDINBURG, TX 785391405 (Tel: 9563623552)

👤
Provider Name / Credentials Updated July 19, 2016

Recorded as CHARLES LEWIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2016

Family Medicine (License #591452 in TX)

🟢
Initial NPI Registration & Enumeration March 26, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699169748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2015
Last Update: January 27, 2026
Sole Proprietor: Yes

Mailing Address

102 W Main St

Wallace, NC 284662902

Phone: 9106593816

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.