Edwin Andrew Stevens (NPI# 1700066321, PAC ID# 5092846139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1700066321 |
| PAC ID by PECOS | 5092846139 |
| Professional Enrollment ID | I20180423000804 |
| Full Name | Edwin Andrew Stevens |
| Organization Legal Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Address |
2341 Lewisville Clemmons Rd Clemmons NC 27012-8905 |
| Phone Number | 3367162255 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2004 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 4486564952 |
| Number of Group Practice Members | 1931 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340004 | HIGH POINT REGIONAL HEALTH SYSTEM |
| 340047 | NORTH CAROLINA BAPTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | 3367162255 | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Medical Ctr Blvd, Winston Salem, NC 27157-0001 | 3367162734 | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Physicians | 1979 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Joyce Kemp | Certified Nurse Midwife (cnm) | Wake Forest University Health Sciences | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 |
| Purvi Dilip Surti | Nurse Practitioner | Wake Forest University Health Sciences | 611 N Lindsay St, Suite 200, High Point, NC 27262-4318 |
| Luke Daniel Spencer | Family Medicine | Wake Forest University Health Sciences | 3020 Bonbrook Dr, Winston Salem, NC 27106-3020 |
| Randall Stephan Conrad | Internal Medicine | Wake Forest University Health Sciences | 250 Hospital Dr, Lexington, NC 27292-6792 |
| Jessica Alexis Savas | Dermatology | Wake Forest University Health Sciences | 4618 Country Club Rd, Winston Salem, NC 27104-3520 |
| Kaila Renea Haskins | Nurse Practitioner | Wake Forest University Health Sciences | 618 S Main St, Reidsville, NC 27320-5020 |
| Kandi Byrd Sams | Nurse Practitioner | Wake Forest University Health Sciences | 799 Hickory Tree Rd, Suite B, Winston-salem, NC 27127-9243 |
| Cory Aaron Alcon | Physical Therapy | Wake Forest University Health Sciences | 755 Highland Oaks Dr, Suite 240, Winston Salem, NC 27103-7106 |
| Brandy Lanette Younts-davis | Nurse Practitioner | Wake Forest University Health Sciences | 306 Westwood Ave, Suite 401, High Point, NC 27262-4342 |
| David A Crowe | Family Medicine | Wake Forest University Health Sciences | 171 W Wilkes Medical Ctr Rd, Ferguson, NC 28624-8925 |
| Street Address |
2341 LEWISVILLE CLEMMONS RD |
| City | CLEMMONS |
| State | NC |
| Zip | 27012-8905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Joyce Kemp | Certified Nurse Midwife (cnm) | Wake Forest University Health Sciences | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 |
| Jonathan L Wilson | Neurosurgery | Wake Forest University Health Sciences | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 |
| Beck D Mcallister | Orthopedic Surgery | Wake Forest University Health Sciences | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 |
| Susan Ann Kidwell Williford | Hematology/oncology | Wake Forest University Health Sciences | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 |
| Catherine R Bradford | Nurse Practitioner | Wake Forest University Health Sciences | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Lewis Craig Iii | Orthopedic Surgery | Orthocarolina, Pa | 2265 Lewisville Rd C, Clemmons, NC 27012 |
| Michael J Riccoboni | Chiropractic | 6774 River Ctr Dr, Clemmons, NC 27012-6745 | |
| William Jeffery Marshall | Psychiatry | Piedmont Psychiatric Associates | 2255 Lewisville Clemmons Rd, Suite E, Clemmons, NC 27012-7460 |
| Barbara O Morgan | Nurse Practitioner | Piedmont Psychiatric Associates | 2255 Lewisville Clemmons Rd, Suite E, Clemmons, NC 27012-7460 |
| Glen E Combs | Physician Assistant | Piedmont Psychiatric Associates | 2255 Lewisville Clemmons Rd, Suite E, Clemmons, NC 27012-7460 |
| Arie Mantin | Family Medicine | 2245 Lewisville Clemmons Rd, Suite C, Clemmons, NC 27012-7461 | |
| Anna E Nichols | Qualified Audiologist | Carolina Hearing Doctors, Inc. | 3780 Clemmons Rd, A, Clemmons, NC 27012-7515 |
| Carlon S Mills | Qualified Audiologist | Carolina Hearing Doctors, Inc. | 3780 Clemmons Rd, A, Clemmons, NC 27012-7515 |
| Robert K Beam | Family Medicine | Carolina Medicorp Enterprises, Inc. | 4136 Clemmons Rd, Clemmons, NC 27012-7520 |
| Danielle M Carter-adkins | Physician Assistant | Novant Medical Group Inc | 4130 Clemmons Rd, Clemmons, NC 27012-7520 |
| Find all physicians in zip 27012 | |||
| City | CLEMMONS |
| Zip Code | 27012 |
| Specialty | NEUROSURGERY |
| City + Specialty | CLEMMONS + NEUROSURGERY |
Please comment or provide details below to improve the information on Edwin Andrew Stevens.
| 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.