Sidney Albert Chevis, MD
Individual provider Active NPI Family Medicine Physician · Bay St Louis, MS
NPI 1619080397 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619080397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 05969 (MS)
- Practice address
- 644 Dunbar Ave
Bay St Louis, MS 39520 - Phone
- (228) 467-9238
- Fax
- (228) 467-4685
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- schevis@direct.mhg.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 05969 | MS | Yes |
Addresses
Primary practice location
644 Dunbar Ave
Bay St Louis, MS 39520
Mailing address
PO Box 2339
Bay St Louis, MS 39521-2339
Phone (228) 467-9238
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00013095 | Medicaid | MS |
Other providers in Bay St Louis, MS
- Champion Family Medical & Wellness Center- Urgent Care
- Changing Minds, LLC
- Robert Michael Chapmon
- Bertin C Chevis
- Karen Chevis
- Children'S International, LLC
- Coastal Family Health Center, Inc
- Coastal Family Health Center, Inc
- Coastal Family Health Center, Inc
- Coastal Family Health Center, Inc
All providers in Bay St Louis, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.