Individual provider Active NPI

Paul Lindsay Stevenson, MD

  • Obstetrics & Gynecology Physician
  • Elizabeth City, NC
National Provider Identifier
1487675138
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9500239 Issued in NC
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

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8979785MedicaidNC
79785OtherNCBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 8729139852, 80 clinicians

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 Hospital, Elizabeth City, NC, CCN 340109

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9500239NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Physician Services - Sentara, Inc Obstetrics & Gynecology Current Accepting new patients
Albemarle Regional Health Services CurrentSince Jul 1, 2017 Accepting new patients
Albemarle Physician Services - Sentara, Inc CurrentSince Jul 1, 2011 Accepting new patients
Albemarle Regional Health Services CurrentSince Jul 1, 2017 Accepting new patients
Albemarle Physician Services - Sentara, Inc CurrentSince Jul 1, 2011 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.