Individual provider Active NPI

Peggy S Stephens, M.D.

  • Psychiatry Physician
  • Sellersburg, IN
National Provider Identifier
1699765115
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01038200 Issued in IN
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

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040105000641 IN Practitioner - Psychiatry 3375442759 Reassigns benefits to 1 organization
I20191220001306 TX Practitioner - PsychiatryPractitioner - Geriatric Medicine 3375442759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Medicine
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
Health and Human Services CommissionGroup PAC ID 2163795824, 138 clinicians

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

LicenseStateTypeSpecialty
01038200INMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Indiana, Auditor of State CurrentSince Oct 27, 2003 Accepting new patients
Health and Human Services Commission Psychiatry Current Accepting new patients
Health and Human Services Commission CurrentSince Oct 7, 2019 Accepting new patients
State of Indiana, Auditor of State Current Accepting new patients
Health and Human Services Commission Psychiatry CurrentSince Oct 7, 2019 Accepting new patients
State of Indiana, Auditor of State CurrentSince Apr 30, 2003 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.

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

Verify at the official NPI Registry.