Individual provider Active NPI

Angela Bevill, D.O.

  • Family Medicine Physician
  • Meridian, MS
National Provider Identifier
1801284633
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24326 Issued in MS
Practice address
905C S Frontage Rd
Meridian, MS 39301-6113
Phone
(601) 482-4955
NPI assigned
Jan 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 338511 LA
Family Medicine Physician 207Q00000X DO2105 AL
Family Medicine Physician 207Q00000X 24326 MS Primary

Addresses

Primary practice location

905C S Frontage Rd
Meridian, MS 39301-6113

Mailing address

5824 Sylvester St
Ocean Springs, MS 39564-4073
Phone (228) 327-3281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 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
I20180307002062 MS Practitioner - Family Practice 3577824507 Reassigns benefits to 2 organizations
I20200221000242 AL Practitioner - Family Practice 3577824507 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338511LAMDFamily Medicine Physician
24326MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Mobile Urgent Care Family Medicine CurrentSince Jun 15, 2023 Accepting new patients
Singing River Health System CurrentSince Mar 1, 2018 Accepting new patients
Gmuc of Citronelle LLC Family Medicine CurrentSince Jun 15, 2023 Accepting new patients
Urgent Care by the Bay, LLC CurrentSince Dec 18, 2019 Accepting new patients
Rush Medical Foundation Family Medicine Current Accepting new patients
Rush Medical Foundation CurrentSince Nov 1, 2024 Accepting new patients
Rush Medical Foundation Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Greater Mobile Urgent Care Family Medicine CurrentSince Jun 15, 2023 Accepting new patients
Gmuc of Saraland Family Medicine CurrentSince Jun 15, 2023 Accepting new patients
Gmuc of Springhill LLC Family Medicine CurrentSince Jun 15, 2023 Accepting new patients

Locations

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

1208 US Highway 98
Daphne, AL 36526
Phone (251) 626-5377

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

905C S Frontage Rd
Meridian, MS 39301
Phone (601) 482-4955

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

Organizations & group practices 10

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": "1420070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1801284633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 SYLVESTER ST",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644073",
            "telephone_number": "228-327-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905C S FRONTAGE RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393016113",
            "telephone_number": "601-482-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVILL",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-01",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "338511",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO2105",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "24326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.