Sidney Albert Chevis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05969 Issued in MS

Practice address

644 Dunbar Ave
Bay St Louis, MS 39520

Phone

(228) 467-9238

Fax

(228) 467-4685

NPI assigned

Aug 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: schevis@direct.mhg.com

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619080397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2339",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395212339",
            "telephone_number": "228-467-9238",
            "fax_number": "228-467-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 DUNBAR AVE",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "39520",
            "telephone_number": "228-467-9238",
            "fax_number": "228-467-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVIS",
        "first_name": "SIDNEY",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "05969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karen Chevis
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• Coastal Family Health Center, Inc (Coastal Family Health Center)
• Coastal Family Health Center, Inc (Coastal Family Health Center, Inc - North Bay Elementary School Clinic)
• Coastal Family Health Center, Inc (Coastal Family Health Center, Inc - Bay Waveland Middle School)
• Coastal Family Health Center, Inc (Coastal Family Health Center Inc - South Hancock Elementary School Cli)

• Family Medicine Physician in Bay St Louis, MS
• Providers in Bay St Louis, MS by specialty
• Family Medicine Physician in Mississippi

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.