Individual provider Active NPI

James Allen Stevick, M.D.

  • Surgery Physician
  • Columbus, GA
National Provider Identifier
1710920657
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
034481 Issued in GA
Practice address
4519 Woodruff Rd Ste 17
Columbus, GA 31904-6091
Phone
(706) 221-8999
Fax
(706) 221-8809
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 034481 GA Primary

Addresses

Primary practice location

4519 Woodruff Rd Ste 17
Columbus, GA 31904-6091

Mailing address

575 1St St
Macon, GA 31201-2825
Phone (478) 743-9762

Other practice location 1

688 Walnut St Ste 201
Macon, GA 31201-0316
Phone (478) 733-5635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040621000482 GA Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 0345225892 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Cardiac Surgery, Thoracic Surgery
Education
Medical College of Georgia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Vascular Center, LLCGroup PAC ID 4981876240, 2 clinicians

Practice addresses (Care Compare)

4519 Woodruff Rd
Suite 17
Columbus, GA 31904-6091
Phone (706) 221-8999

Merit-based Incentive Payment System (MIPS)

Final score
78.45 of 100Reported as individual
Quality
38.51
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Vascular Center, LLC CurrentSince Apr 22, 2018 Accepting new patients
Kidney Center of Central Georgia, LLC CurrentSince Jul 1, 2016 Accepting new patients
Central Georgia Vascular Solutions Surgery CurrentSince Feb 1, 2023 Accepting new patients
Columbus Vascular Center, LLC CurrentSince Mar 1, 2017 Accepting new patients
Guardian Medical Services, LLC PastSince Aug 8, 2021 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients
Macon Cardiovascular Institute Surgery Past Accepting new patients

Locations

3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683

4519 Woodruff Rd
Ste 17
Columbus, GA 31904
Phone (404) 918-2349

326 Shirley Ave
Douglas, GA 31533
Phone (404) 606-2069

688 Walnut St
Ste 201
Macon, GA 31201
Phone (478) 476-8692

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

657 Hemlock St
Ste 200
Macon, GA 31201
Phone (478) 254-7353

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHCDBA

Organizations & group practices 7

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1710920657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012825",
            "telephone_number": "478-743-9762",
            "fax_number": "478-746-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 WOODRUFF RD STE 17",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046091",
            "telephone_number": "706-221-8999",
            "fax_number": "706-221-8809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "688 Walnut St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312010316",
            "country_code": "US",
            "telephone_number": "478-733-5635",
            "fax_number": "478-250-8565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVICK",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "034481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.