Individual provider Active NPI

Zachary Lloyd Stevenson, M.D.

  • Emergency Medicine Physician
  • College Station, TX
National Provider Identifier
1316357270
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T6390 Issued in TX
Practice address
17361 Halona CT
College Station, TX 77845-2451
Phone
(770) 846-3177
NPI assigned
Apr 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-9479 AR
Emergency Medicine Physician 207P00000X 38182 AL
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X T6390 TX Primary

Addresses

Primary practice location

17361 Halona CT
College Station, TX 77845-2451

Mailing address

17361 Halona CT
College Station, TX 77845-2451
Phone (770) 846-3177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160411002057 TX Practitioner - Emergency MedicinePractitioner - Family Practice 7012220668 Reassigns benefits to 4 organizations
I20161207000952 AR Practitioner - Emergency Medicine 7012220668 Reassigns benefits to 1 organization
I20190813003324 AL Practitioner - Emergency Medicine 7012220668 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies Alabama PLLCGroup PAC ID 5395105183, 23 clinicians
Mobile Emergency Physicians, LLC.Group PAC ID 4981840832, 11 clinicians

Practice addresses (Care Compare)

3590 Gulf Shores Pkwy
Gulf Shores, AL 36542-2804
Phone (251) 215-4853

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 633-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38182ALMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WH Services Brewton LLC Emergency Medicine CurrentSince Jan 9, 2026 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jan 2, 2023 Accepting new patients
Ies Alabama PLLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Nov 21, 2022 Accepting new patients
Mobile Emergency Physicians, LLC Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Brazos Valley Emergency Physicians PA Emergency Medicine CurrentSince Jun 15, 2022 Accepting new patients
WH Services Atmore LLC Emergency Medicine CurrentSince Feb 20, 2024 Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

3590 Gulf Shores Pkwy
Gulf Shores, AL 36542
Phone (251) 215-4853

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

501 S Ragsdale St
Jacksonville, TX 75766
Phone (903) 541-5000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

210 S Judson St
Navasota, TX 77868
Phone (936) 825-6585

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

Interoperability endpoints

  • Direct secure messaging: zstevenson576670@ahs.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

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.

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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1316357270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17361 HALONA CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778452451",
            "telephone_number": "770-846-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17361 HALONA CT",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778452451",
            "telephone_number": "770-846-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "ZACHARY",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-9479",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "38182",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T6390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.