Robert Wayne Stevens

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO06793 Issued in GA

Practice address

368 W Pike St
Suite 202
Lawrenceville, GA 30045-3240

Phone

(770) 963-1918

Fax

(678) 817-0330

NPI assigned

Jul 3, 2006

Last updated

Aug 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Chiropractic Care, Inc.

  • Case Management Agency
  • Lawrenceville, GA
  • NPI 1922135672
  Medicare reassignment NPD
• Northview Orthopaedic

  • Orthopaedic Surgery Physician
  • Dahlonega, GA
  • NPI 1457360331
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1053341552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 W PIKE ST",
            "address_2": "SUITE 202",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453240",
            "telephone_number": "770-963-1918",
            "fax_number": "678-817-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 W PIKE ST",
            "address_2": "SUITE 202",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453240",
            "telephone_number": "770-963-1918",
            "fax_number": "678-817-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO06793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER I.D.",
            "identifier": "52820948002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steps Behavioral Health Ga LLC
• Raynard Sterling, NP
• Cheyenne J. Stevens, LMSW
• Joy Manry Stevens, NP
• Kennedy Joi Stevens
• Walter C Stevens III, MD
• Leigh Ann Stevenson, MA. CCC-SLP
• Anne Carroll Stewart
• Carolyn Stewart, DNP
• Nicole Stewart, CRANIAL PROSTHETIC

• Chiropractor in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.