Individual provider Active NPI

Christopher Lee Stevens, MD

  • Family Medicine Physician
  • Kennesaw, GA
National Provider Identifier
1285702936
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
054515 Issued in GA
Practice address
3805 Cherokee St NW
Kennesaw, GA 30144-2085
Phone
(770) 426-5665
Fax
(770) 420-1792
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 054515 GA Primary

Addresses

Primary practice location

3805 Cherokee St NW
Kennesaw, GA 30144-2085

Mailing address

7360 McGinnis Ferry Rd Suite C
Suwanee, GA 30024
Phone (770) 813-9250

Other practice location 1

7360 McGinnis Ferry Rd Suite C
Suwanee, GA 30024
Phone (770) 813-9250

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cstevens21004@directwellstar.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040709000661 GA Practitioner - Family Practice 4880672591 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

2890 Delk Serd
Marietta, GA 30067-5326
Phone (770) 955-8620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Hospital, Inc. CurrentSince Nov 1, 2004 Accepting new patients
Northside Hospital, Inc. CurrentSince Nov 1, 2004 Accepting new patients
Gwinnett Emergency Specialists, LLC CurrentSince Jan 1, 2008 Accepting new patients
Gwinnett Pathology Assoc PC Current Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients
Peninsula Radiological Associates Limited Past Accepting new patients
Hartwell Emergency Services, LLC Past Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

3805 Cherokee St NW
Kennesaw, GA 30144
Phone (770) 426-5665

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

3600 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 977-4547

2890 Delk Rd SE
Marietta, GA 30067
Phone (770) 427-2457

4480 N Cooper Lake Rd SE
Ste 100
Smyrna, GA 30082
Phone (770) 331-1300

120 Stonebridge Pkwy
Woodstock, GA 30189
Phone (678) 494-2500

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1285702936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 MCGINNIS FERRY RD SUITE C",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "770-813-9250",
            "fax_number": "770-813-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 CHEROKEE ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442085",
            "telephone_number": "770-426-5665",
            "fax_number": "770-420-1792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7360 McGinnis Ferry Rd Suite C",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "30024",
            "country_code": "US",
            "telephone_number": "770-813-9250",
            "fax_number": "770-813-9251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "054515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cstevens21004@directwellstar.org",
            "affiliation": "N",
            "address_1": "3805 Cherokee St NW",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301442085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.