Active NPI
Stevens Health Services PC
- Internal Medicine Physician
- Cordele, GA
National Provider Identifier
1467779082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- STEVENS HEALTH SERVICES PC
- Practice address
- 201 E 16TH Ave
Cordele, GA 31015-1623 - Phone
- (229) 273-8501
- Fax
- (877) 325-1992
- NPI assigned
- Apr 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard L Stevens, M.D.
- Title
- Owner
- Phone
- (229) 273-8501
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
201 E 16TH Ave
Cordele, GA 31015-1623
Mailing address
201 E 16TH Ave
Cordele, GA 31015-1623
Phone (229) 273-8501
Other practice location 1
292 Industrial Blvd Ste 101
Hawkinsville, GA 31036-8035
Phone (478) 888-1737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 394168697A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101020001104 | GA | Part B Supplier - Clinic/Group Practice | 8123211349 |
Receives reassigned benefits from 10 practitioners Practice locations: Cordele, GA |
National Provider Directory
National Provider DirectoryLocations
906 N 5th St
Cordele, GA 31015
201 E 16th Ave
Cordele, GA 31015
Phone (229) 273-8501
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Cordele, GA
- NPI 1588690721
GA, Internal Medicine
-
- Pediatrics Physician
- Cordele, GA
- NPI 1952374985
-
- Family Nurse Practitioner
- Albany, GA
- NPI 1295149029
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1045979 | Stevens Health Services | Compliance | Aug 7, 2027 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784592000000",
"number": "1467779082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E 16TH AVE",
"city": "CORDELE",
"state": "GA",
"postal_code": "310151623",
"telephone_number": "229-273-8501",
"fax_number": "877-325-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E 16TH AVE",
"city": "CORDELE",
"state": "GA",
"postal_code": "310151623",
"telephone_number": "229-273-8501",
"fax_number": "877-325-1992"
}
],
"practiceLocations": [
{
"address_1": "292 Industrial Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Hawkinsville",
"state": "GA",
"postal_code": "310368035",
"country_code": "US",
"telephone_number": "478-888-1737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STEVENS HEALTH SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-21",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A",
"authorized_official_last_name": "STEVENS",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "229-273-8501",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "394168697A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cordele, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.