Kevin L Stevenson (NPI# 1821042946, PAC ID# 4981593647) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1821042946 |
| PAC ID by PECOS | 4981593647 |
| Professional Enrollment ID | I20040311001241 |
| Full Name | Kevin L Stevenson |
| Organization Legal Name | PHYSIO AT HAMMONDS CENTRE LLC |
| Address |
4523 Forsyth Rd Macon GA 31210-4527 |
| Phone Number | 4782547010 |
| Gender | M |
| Credential | MD |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 0143520403 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110164 | COLISEUM MEDICAL CENTERS, LLC, DBA |
| 110201 | COLISEUM NORTHSIDE HOSPITAL |
| 110125 | FAIRVIEW PARK HOSPITAL |
| 110069 | HOUSTON MEDICAL CENTER |
| 110107 | MEDICAL CENTER, NAVICENT HEALTH (THE) |
| Address | Phone | Organization |
|---|---|---|
| 121 N Crest Blvd, Macon, GA 31210-1845 | 4788419333 | TATTNALL HOSPITAL COMPANY LLC |
| 4523 Forsyth Rd, Macon, GA 31210-4527 | 4782547010 | PHYSIO AT HAMMONDS CENTRE LLC |
| 247 A S Main St, Reidsville, GA 30453-4605 | 9125578990 | TATTNALL HOSPITAL COMPANY LLC |
| 247 S Main St, Reidsville, GA 30453-4605 | 9125571000 | TATTNALL HOSPITAL COMPANY LLC |
| 2317 E 1st St, Vidalia, GA 30453-4605 | 9125370888 | TATTNALL HOSPITAL COMPANY LLC |
| Organization Legal Name | PHYSIO AT HAMMONDS CENTRE LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter O Holliday Iii | Neurosurgery | Physio At Hammonds Centre LLC | 4523 Forsyth Rd, Macon, GA 31210-4527 |
| Marybell H Vaughn | Internal Medicine | Physio At Hammonds Centre LLC | 4523 Forsyth Rd, Macon, GA 31210-4527 |
| William Sidney Barnes | Orthopedic Surgery | Physio At Hammonds Centre LLC | 4523 Forsyth Rd, Macon, GA 31210-4527 |
| Linda Bolt | Occupational Therapy | Physio At Hammonds Centre LLC | 4523 Forsyth Rd, Macon, GA 31210-4527 |
| William M Hammonds | Physical Therapy | Physio At Hammonds Centre LLC | 4523 Forsyth Rd, Macon, GA 31210-4527 |
| Kristen T Bettis | Physical Therapy | Physio At Hammonds Centre LLC | 4523 Forsyth Rd, Macon, GA 31210-4527 |
| Teresa L Pierce | Physical Therapy | Physio At Hammonds Centre LLC | 4523 Forsyth Rd, Macon, GA 31210-4527 |
| Street Address |
4523 FORSYTH RD |
| City | MACON |
| State | GA |
| Zip | 31210-4527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter O Holliday Iii | Neurosurgery | Physio At Hammonds Centre LLC | 4523 Forsyth Rd, Macon, GA 31210-4527 |
| Marybell H Vaughn | Internal Medicine | Physio At Hammonds Centre LLC | 4523 Forsyth Rd, Macon, GA 31210-4527 |
| William Sidney Barnes | Orthopedic Surgery | Physio At Hammonds Centre LLC | 4523 Forsyth Rd, Macon, GA 31210-4527 |
| Linda Bolt | Occupational Therapy | Physio At Hammonds Centre LLC | 4523 Forsyth Rd, Macon, GA 31210-4527 |
| William M Hammonds | Physical Therapy | Physio At Hammonds Centre LLC | 4523 Forsyth Rd, Macon, GA 31210-4527 |
| Kristen T Bettis | Physical Therapy | Physio At Hammonds Centre LLC | 4523 Forsyth Rd, Macon, GA 31210-4527 |
| Teresa L Pierce | Physical Therapy | Physio At Hammonds Centre LLC | 4523 Forsyth Rd, Macon, GA 31210-4527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William S Hutchings | Family Medicine | Hutchings Health Care | 3096 Riverside Dr, Suite D, Macon, GA 31210-0420 |
| Dusty W Large | Chiropractic | 3040 Riverside Dr, Suite B3, Macon, GA 31210-0470 | |
| Billie L Jackson | Dermatology | 440 Charter Blvd, Ste. 2201, Macon, GA 31210-0706 | |
| Hyunji Choi | Dermatology | Dermatology Affiliates LLC | 440 Charter Blvd, Suite 2201, Macon, GA 31210-0706 |
| Valerie Jones-freeman | Internal Medicine | 420 Charter Blvd, Suite 306, Macon, GA 31210-0715 | |
| Joseph J Burnette | General Surgery | 420 Charter Blvd, Suite 302, Macon, GA 31210-0720 | |
| Laurie G Johnson | Nurse Practitioner | Peter O. Holliday IIi, Md, PC | 420 Charter Blvd, Suite 402, Macon, GA 31210-0722 |
| Pamela Onderko | Podiatry | 5223 Riverside Dr, Suite 104, Macon, GA 31210-0889 | |
| William J Woods | Internal Medicine | 220 N Macon St, Macon, GA 31210-1111 | |
| Torrence T Drakeford | Nurse Practitioner | Navicare LLC | 4795 Riverside Dr, Macon, GA 31210-1115 |
| Find all physicians in zip 31210 | |||
| City | MACON |
| Zip Code | 31210 |
| Specialty | NEUROSURGERY |
| City + Specialty | MACON + NEUROSURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.