Active NPI
Christopher Lee Stevens, MD
- Family Medicine Physician
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 054515
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Hospital, Inc. | Current | Accepting new patients | |
| Northside Hospital, Inc. | Current | Accepting new patients | |
| Gwinnett Emergency Specialists, LLC | Current | 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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Emergency Medicine Physician
- Lawrenceville, GA
- NPI 1437346467
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
-
- Anatomic Pathology & Clinical Pathology Physician
- Lawrenceville, GA
- NPI 1104887330
-
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
- Nurse Practitioner
- Hartwell, GA
- NPI 1245272954
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
-
- Diagnostic Radiology Physician
- Newport News, VA
- NPI 1114030426
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.