Active NPI
Paul Lindsay Stevenson, MD
- Obstetrics & Gynecology Physician
- Elizabeth City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 9500239
- Practice address
- 112 Medical Dr
Elizabeth City, NC 27909-3361 - Phone
- (252) 384-2610
- Fax
- (252) 338-2505
- NPI assigned
- Jul 21, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 9500239 | NC | Primary |
Addresses
Primary practice location
112 Medical Dr
Elizabeth City, NC 27909-3361
Mailing address
112 Medical Dr
Elizabeth City, NC 27909-3361
Phone (252) 384-2610
Other practice location 1
2251 Stantonsburg Rd
Greenville, NC 27834-2841
Phone (252) 757-3131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8979785 | Medicaid | NC | |
| 79785 | Other | NC | BCBS OF NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090619000338 | NC | Practitioner - Obstetrics/Gynecology | 6103977848 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Brody School of Medicine at East Carolina University, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Albemarle Physician Services - Sentara Inc
Practice addresses (Care Compare)
Elizabeth City, NC 27909
Phone (252) 334-0402
222 Virginia Rd
Edenton, NC 27932-9667
905 Thunder Rd
Elizabeth City, NC 27909-7672
Hospital & facility affiliations
- Sentara Albemarle Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9500239 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albemarle Physician Services - Sentara, Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Albemarle Regional Health Services | Current | Accepting new patients | |
| Albemarle Physician Services - Sentara, Inc | Current | Accepting new patients | |
| Albemarle Regional Health Services | Current | Accepting new patients | |
| Albemarle Physician Services - Sentara, Inc | Current | Accepting new patients |
Locations
211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590
905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460
905 Thunder Rd
Ste 240
Elizabeth City, NC 27909
Phone (252) 334-0555
711 Roanoke Ave
Elizabeth Cty, NC 27909
Phone (252) 338-4370
112 Medical Dr
Elizabeth Cty, NC 27909
Phone (252) 338-2151
Interoperability endpoints
- pstevenson176949@direct.sentara.net
Organizations & group practices 5
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
- Norfolk, VA
- NPI 1942443130
NC, Obstetrics & Gynecology
-
- State or Local Public Health Clinic/Center
- Elizabeth City, NC
- NPI 1659468130
NC
-
- Urgent Care Clinic/Center
- Kitty Hawk, NC
- NPI 1306202627
-
- Neurology Physician
- Elizabeth City, NC
- NPI 1407124654
-
- State or Local Public Health Clinic/Center
- Hertford, NC
- NPI 1487738951
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1245211168
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1487675138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MEDICAL DR",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093361",
"telephone_number": "252-384-2610",
"fax_number": "252-338-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MEDICAL DR",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093361",
"telephone_number": "252-384-2610",
"fax_number": "252-338-2505"
}
],
"practiceLocations": [
{
"address_1": "2251 Stantonsburg Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278342841",
"country_code": "US",
"telephone_number": "252-757-3131",
"fax_number": "252-757-9600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENSON",
"first_name": "PAUL",
"middle_name": "LINDSAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "9500239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8979785",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "79785",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.