NPIMap

Individual provider Active NPI

Tony Bevill, P.A.-C

  • Medical Physician Assistant
  • Collins, GA
National Provider Identifier
1255324489
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003054 Issued in GA
Practice address
152 Jarriels Bridge Rd
Collins, GA 30421-4806
Phone
(912) 684-3560
Fax
(912) 684-3615
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X 003054 GA Primary

Addresses

Primary practice location

152 Jarriels Bridge Rd
Collins, GA 30421-4806

Mailing address

152 Jarriels Bridge Rd
Collins, GA 30421-4806
Phone (912) 684-3560

Other practice location 1

400 Cedar St
Metter, GA 30439-3338
Phone (912) 685-6403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000237 GA Practitioner - Physician Assistant 1850368853 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2379AZMDGeneral Practice Dentistry
003054GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince Nov 2, 2015 Accepting new patients
Emanuel County Hospital Authority CurrentSince Sep 1, 2025 Accepting new patients
Hospital Authority of Candler County CurrentSince May 20, 2024 Accepting new patients
Bhimani Internal Medicine Past Accepting new patients
Wheeler County Family Medicine Past Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients
Emanuel County Hospital Authority Past Accepting new patients

Locations

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

400 Cedar St
Metter, GA 30439
Phone (912) 685-1726

931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

Organizations & group practices 14

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.

View all 14

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Optim Screven Emergency Medical Services LLC 19 clinicians

Practice addresses (Care Compare)

215 Mims Rd
Sylvania, GA 30467-1994
Phone (912) 557-1207

247 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-1000

Merit-based Incentive Payment System (MIPS)

Final score
55.58 of 100Reported as group
Quality
51.64
Improvement activities
0
Cost
70.16

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1255324489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 JARRIELS BRIDGE RD",
            "city": "COLLINS",
            "state": "GA",
            "postal_code": "304214806",
            "telephone_number": "912-684-3560",
            "fax_number": "912-684-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 JARRIELS BRIDGE RD",
            "city": "COLLINS",
            "state": "GA",
            "postal_code": "304214806",
            "telephone_number": "912-684-3560",
            "fax_number": "912-684-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Metter",
            "state": "GA",
            "postal_code": "304393338",
            "country_code": "US",
            "telephone_number": "912-685-6403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVILL",
        "first_name": "TONY",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "003054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collins, GA

Sources for this page

Verify at the official NPI Registry.