Active NPI
Steven P. Chevalier, M.D.
- Pediatrics Physician
- Madison, MS
National Provider Identifier
1104937481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 16505
- Practice address
- 7726 Old Canton Rd
Madison, MS 39110-9299 - Phone
- (601) 856-5105
- Fax
- (601) 856-8637
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 16505 | MS | Primary |
Addresses
Primary practice location
7726 Old Canton Rd
Madison, MS 39110-9299
Mailing address
1867 Crane Ridge Dr Ste 101B
Jackson, MS 39216-4956
Phone (601) 362-8776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0125178 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16505 | MS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Medical Group, P.a. | Pediatrics | Current | Accepting new patients |
Locations
1867 Crane Ridge Dr
Ste 101B
Jackson, MS 39216
Phone (601) 362-8776
7726 Old Canton Rd
Madison, MS 39110
Phone (601) 856-5105
Interoperability endpoints
- stevenchevalier@cmgpa.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104937481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1867 CRANE RIDGE DR STE 101B",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164956",
"telephone_number": "601-362-8776",
"fax_number": "601-354-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7726 OLD CANTON RD",
"city": "MADISON",
"state": "MS",
"postal_code": "391109299",
"telephone_number": "601-856-5105",
"fax_number": "601-856-8637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEVALIER",
"first_name": "STEVEN",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "16505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0125178",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.