Avery Stevons

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5803 Issued in SC

Practice address

1483 Tobias Gadson Blvd Ste 208
Charleston, SC 29407-4796

Phone

(843) 609-2309

Fax

(843) 727-8240

NPI assigned

Mar 24, 2025

Last updated

May 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Anesthesia Associates of Charleston, P.a.

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1396776670
  Medicare reassignment

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1124829007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 APPLING DR UNIT 310",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644789",
            "telephone_number": "517-614-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 TOBIAS GADSON BLVD STE 208",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074796",
            "telephone_number": "843-609-2309",
            "fax_number": "843-727-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVONS",
        "first_name": "AVERY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles K Stevens, MD
• Kaitlin Frazier Stevens, FNP
• Myeshia Stevens, LPC-A
• Sarah Anne Stevens
• Marcus Steveson
• Skylar Stewart-Clark, PHD, PAC
• Alexandra Stewart, RBT
• Carolyn Blackwell Stewart, ANP
• Carolyn Parker Stewart, PMHNP
• Courtney Eileen Stewart, M.D.

• Physician Assistant in Charleston, SC
• Providers in Charleston, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.