Active NPI
Peggy S Stephens, M.D.
- Psychiatry Physician
- Sellersburg, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01038200
- Practice address
- 12102 Covered Bridge Rd
Sellersburg, IN 47172-9667 - Phone
- (502) 741-0313
- NPI assigned
- Oct 26, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01038200 | IN | Primary |
Addresses
Primary practice location
12102 Covered Bridge Rd
Sellersburg, IN 47172-9667
Mailing address
12102 Covered Bridge Rd
Sellersburg, IN 47172-9667
Phone (502) 741-0313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Kentucky College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6711 S New Braunfels
100 San Antonio State Hospital
San Antonio, TX 78223-3002
Phone (210) 532-8811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01038200 | IN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| Health and Human Services Commission | Psychiatry | Current | Accepting new patients |
| Health and Human Services Commission | Current | Accepting new patients | |
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| Health and Human Services Commission | Psychiatry | Current | Accepting new patients |
| State of Indiana, Auditor of State | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Columbus Hospital, LLC | Past | Accepting new patients |
Locations
3400 Lincoln Ave
Evansville, IN 47714
Phone (812) 469-6800
1098 S State Road 25
Logansport, IN 46947
Phone (574) 722-4141
711 Green Rd
Madison, IN 47250
Phone (812) 265-2611
6711 S New Braunfels Ave
Ste 1
San Antonio, TX 78223
Phone (210) 532-8811
6711 S New Braunfels Ave
Ste 100
San Antonio, TX 78223
Phone (210) 531-7805
6515 Lake Rd
Wichita Falls, TX 76308
Phone (940) 552-9901
Organizations & group practices 8
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.
-
- Psychiatric Hospital
- Madison, IN
- NPI 1700876224
-
- Clinical Neuropsychologist
- Harlingen, TX
- NPI 1356414692
Psychiatry
-
- Psychiatric Hospital
- Madison, IN
- NPI 1659497477
-
- Public Health or Welfare Agency
- Indianapolis, IN
- NPI 1023613403
-
- Psychiatric Hospital
- Big Spring, TX
- NPI 1881600682
-
- Psychiatric Residential Treatment Facility
- Columbus, IN
- NPI 1275580003
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1699765115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12102 COVERED BRIDGE RD",
"city": "SELLERSBURG",
"state": "IN",
"postal_code": "471729667",
"telephone_number": "502-741-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12102 COVERED BRIDGE RD",
"city": "SELLERSBURG",
"state": "IN",
"postal_code": "471729667",
"telephone_number": "502-741-0313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "PEGGY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-26",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01038200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sellersburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.