KEVIN LEE STEVENSON


Address: 121 N Crest Blvd, Macon, GA 31210-1845
Phone: 4788419333

KEVIN LEE STEVENSON (NPI# 1821042946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821042946
Entity Type Individual
Full Name KEVIN LEE STEVENSON
Credential MD
Practice Address 121 N Crest Blvd
Macon
GA 31210-1845
Mailing Address 460 Mall Blvd Ste B
Savannah
GA 31406-4801
Practice Telephone 4788419333
Practice Fax Number 4782723139
Mailing Telephone 9126293527
Mailing Fax Number 9126443369
Enumeration Date 2006-05-22
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery 052640 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 713638334E 05
MN 983195000 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4660 Riverside Park Blvd, Macon, GA 31210 4784742114 4784748001

Other Providers KEVIN STEVENSON

NPI Name Taxonomy Address Enumeration
1841452786 Kevin Michael Stevenson Counselor 6611 Us Highway 19, Suite 203, New Port Richey, FL 34652-1732 2008-07-01
1285724666 Kevin Ricks Stevenson Social Worker 1061 Harmon Avenue Building 311, Winn Army Community Hospital, Fort Stewart, GA 31314-5674 2006-10-13
1790258903 Kevin Stevenson Specialist 17 93rd St, Keene, NH 03431-3989 2019-01-10
1982660346 Kevin M Stevenson Radiology 347 N Kuakini St, Honolulu, HI 96817-2306 2006-04-25

Office Location

Street Address 121 N CREST BLVD
City MACON
State GA
Zip Code 31210-1845

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376042796 Optim Orthopedics LLC Orthopaedic Surgery 121 N Crest Blvd, Macon, GA 31210-1845 2018-02-12
1750890562 Tattnall Hospital Company LLC Neurological Surgery 121 N Crest Blvd, Macon, GA 31210-1845 2017-09-25
1720477409 Lauren Price Nurse Practitioner 121 N Crest Blvd, Macon, GA 31210-1845 2015-01-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033743455 Dana Elizabeth Toth Nurse Practitioner 5300 Bowman Rd, Macon, GA 31210 2020-02-25
1871124735 Jessica Bello Nurse Practitioner 5300 Bowman Road, Macon, GA 31210 2020-01-30
1225505787 Rebekah Hollinshead Occupational Therapist Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 2018-11-01
1346744943 Ace Medical Transport LLC. Ambulance 728 Gay Dr, Macon, GA 31210 2018-03-20
1972965226 Omar Faruk Ahmad Family Medicine 3400 Riverside Drvie, Macon, GA 31210 2016-03-25
1083074868 Macon Dentist Office, PC Dentist 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 2016-03-07
1992176952 Kerisia Wasztyl Marriage & Family Therapist 4691 Pine Valley Dr, Macon, GA 31210 2015-10-15
1073905444 Eunice Malave De Leon Social Worker 174 Spring St, Macon, GA 31210 2015-02-23
1396141545 Axis Surgery Center LLC Clinic/Center 230 Sheraton Blvd, Ste B, Macon, GA 31210 2014-11-17
1073914115 Monique Rechelle Delay Moore Community/Behavioral Health 646 Millrun Court, Macon, GA 31210 2014-09-09
Find all providers in zip 31210

Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932202066 George S. Stefanis, Md PC Neurological Surgery 310 Hospital Dr Ste 205, Macon, GA 31217-8025 2006-09-06
1255985719 Christina Stonecypher Neurological Surgery 840 Pine St Ste 880, Macon, GA 31201 2019-08-01
1306498605 Ae Mary Irwin Neurological Surgery 840 Pine St Ste 880, Macon, GA 31201-7525 2019-07-16
1659857662 Robert Ashley Brunson Neurological Surgery 840 Pine St Ste 880, Macon, GA 31201-7525 2018-07-12
1750890562 Tattnall Hospital Company LLC Neurological Surgery 121 N Crest Blvd, Macon, GA 31210-1845 2017-09-25
1790211399 Bethesda Institute of Spine & Neurosurgery Neurological Surgery 420 Charter Blvd, #208, Macon, GA 31210-4854 2017-05-03
1801243894 Konstantinos Fountas Neurological Surgery 840 Pine St, Suite 880, Macon, GA 31201-2100 2016-05-19
1356721484 Neurology Services of Florida Neurological Surgery 761 Poplar St, Ste 1-k, Macon, GA 31201-2082 2015-06-03
1508120684 Peter O. Holliday, IIi M.d. P.C. Neurological Surgery 420 Charter Blvd, Ste 402, Macon, GA 31210-4854 2012-07-03
1659678555 Richard Aurelius Smith Neurological Surgery 5300 Zebulon Rd, Macon, GA 31210-2199 2011-02-12
Find all providers in MACON

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City MACON
Zip Code 31210

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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