Active NPI
Frank W Stevens Jr., MD
- Psychiatry Physician
- Wilmington, NC
National Provider Identifier
1225010473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 9601490
- Practice address
- 3205 Randall Parkway
Suite 122
Wilmington, NC 28403 - Phone
- (910) 332-4130
- Fax
- (910) 332-4131
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 9601490 | NC | Primary |
Addresses
Primary practice location
3205 Randall Parkway
Suite 122
Wilmington, NC 28403
Mailing address
3205 Randall Parkway
Suite 122
Wilmington, NC 28403
Phone (910) 332-4130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8979780 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1225010473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 RANDALL PARKWAY",
"address_2": "SUITE 122",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28403",
"telephone_number": "910-332-4130",
"fax_number": "910-332-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 RANDALL PARKWAY",
"address_2": "SUITE 122",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28403",
"telephone_number": "910-332-4130",
"fax_number": "910-332-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "FRANK",
"middle_name": "W",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "9601490",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8979780",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
- Tori Shaye Stephens
- Jessica L Stephenson, O.D.
- Joe Bryant Stephenson, NBC-HIS
- Lauren Janelle Stephenson, M.S.W.
- Andrea Steuwe, LCMHC-A
- Hillary Page Dotson Stevens, MSW, LCSW, LCAS
- Jeanne-Marie Laborde Stevens, CRNA
- John Charles Stevens, RN BSN
- Nancy Swann Stevens, MS, CCC-SLP
- Trenton Thomas Stevens, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.