Individual provider Active NPI

Bertin C Chevis, M.D.

  • Family Medicine Physician
  • Bay St Louis, MS
National Provider Identifier
1649228529
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
08318 Issued in MS
Practice address
149 Drinkwater Rd
Suite C
Bay St Louis, MS 39520-1658
Phone
(228) 467-8989
Fax
(228) 467-3805
NPI assigned
May 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 08318 MS Primary

Addresses

Primary practice location

149 Drinkwater Rd
Suite C
Bay St Louis, MS 39520-1658

Mailing address

10000 Cain Rd
Bay St Louis, MS 39520-8825

Other identifiers 1

IdentifierTypeStateIssuer
00011265MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20051107000678 MS Practitioner - Family PracticePractitioner - General Practice 5193743334 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bert Chevis M D LLC Family Medicine CurrentSince Nov 4, 2005 Accepting new patients
St Joseph Hospice of Southern Mississippi, LLC Family Medicine PastSince Apr 13, 2012 Accepting new patients

Locations

849 Highway 90
Bay St Louis, MS 39520
Phone (228) 467-8422

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Joseph Hospice of Southern Mississippi, LLCHattiesburg, MS, CCN 251670 Hospice Operational/Managerial Control Apr 13, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649228529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 CAIN RD",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395208825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 DRINKWATER RD",
            "address_2": "SUITE C",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201658",
            "telephone_number": "228-467-8989",
            "fax_number": "228-467-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVIS",
        "first_name": "BERTIN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "08318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00011265",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay St Louis, MS

Sources for this page

Verify at the official NPI Registry.