Active NPI
Radonna Rae Stevenson-Pirkle, PA-C
- Surgical Physician Assistant
- Claxton, GA
National Provider Identifier
1740547397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 003816
- Practice address
- 200 N River St.
Claxton, GA 30417-1659 - Phone
- (912) 739-5252
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
-
- Surgery Physician
- Macon, GA
- NPI 1104866599
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Savannah Chatham Imaging LLC
Practice addresses (Care Compare)
11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 819-2452
5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 819-8132
Hospital & facility affiliations
- Candler Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.37 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 69.55
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120718000874 | GA | Practitioner - Physician Assistant | 2668457615 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 388 | GA | MD | Acupuncturist |
| 000388 | GA | MD | Physical Therapist |
| 3816 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Services of Central Georgia, Inc | Past | Accepting new patients | |
| Macon Cardiovascular Institute | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 003816 | GA | Primary |
| Physician Assistant | 363A00000X | 3816 | GA |
Addresses
NPPES NPI RegistryPrimary practice location
200 N River St.
Claxton, GA 30417-1659
Mailing address
5353 Reynolds St
Savannah, GA 31405-6015
Other names 1
NPPES NPI Registry- Radonna Rae Stevenson-Creasy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2012.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1740547397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5353 REYNOLDS ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N RIVER ST.",
"city": "CLAXTON",
"state": "GA",
"postal_code": "304171659",
"telephone_number": "912-739-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON-PIRKLE",
"first_name": "RADONNA",
"middle_name": "RAE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "003816",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "3816",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RADONNA",
"last_name": "STEVENSON-CREASY",
"middle_name": "RAE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Claxton, GA
- Southeast Lung & Critical Care Specialists, PC
- Southeast Lung and Critical Care Specialist
- Southern Medical Group
- Southland Evans Emergency Medical Services LLC
- Southland Evans Hospitalist Group LLC
- Andrew D Strickland, MHS, LAT, ATC
- Tattnall Hospital Company, LLC
- Raymundo V Teheng, MD
- The Griffin House, LLC
- Justin Thomas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.