Individual provider Active NPI

Casey W Bevis, D.C.

  • Chiropractor
  • Savannah, TN
National Provider Identifier
1417048851
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2148 Issued in TN
Practice address
1940 Pickwick St
Savannah, TN 38372-5309
Phone
(731) 925-1196
Fax
(731) 925-1774
NPI assigned
Sep 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2148 TN Primary

Addresses

Primary practice location

1940 Pickwick St
Savannah, TN 38372-5309

Mailing address

1940 Pickwick St
Savannah, TN 38372-5309
Phone (731) 925-1196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070410000192 TN Practitioner - Chiropractic 0749384576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midsouth Chiropractic PLLCGroup PAC ID 2062737851, 3 clinicians

Practice addresses (Care Compare)

1940 Pickwick St
Savannah, TN 38372-5309
Phone (731) 925-1196

635 Water St
Savannah, TN 38372-2442
Phone (731) 925-2225

Merit-based Incentive Payment System (MIPS)

Final score
23.61 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1102MSMDMental Health Counselor
2148TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midsouth Spine and Pain Associates PLLC CurrentSince Sep 4, 2012 Accepting new patients
Midsouth Spine and Pain Associates PLLC Chiropractor CurrentSince Sep 4, 2012 Accepting new patients
Midsouth Chiropractic PLLC Chiropractor CurrentSince Jan 1, 2015 Accepting new patients
Grimes-Bevis Chiropractic, PLLC Chiropractor PastSince Jul 1, 2009 Accepting new patients

Locations

3196 Highway 72 W
Corinth, MS 38834
Phone (662) 284-8565

1940 Pickwick St
Savannah, TN 38372
Phone 7319251196 ext. 1197

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417048851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 PICKWICK ST",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383725309",
            "telephone_number": "731-925-1196",
            "fax_number": "731-925-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 PICKWICK ST",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383725309",
            "telephone_number": "731-925-1196",
            "fax_number": "731-925-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVIS",
        "first_name": "CASEY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.