Individual provider Active NPI

Kevin Lee Stevenson, MD

  • Neurological Surgery Physician
  • Macon, GA
National Provider Identifier
1821042946
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
052640 Issued in GA
Practice address
121 N Crest Blvd
Macon, GA 31210-1845
Phone
(478) 841-9333
Fax
(478) 272-3139
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 052640 GA Primary

Addresses

Primary practice location

121 N Crest Blvd
Macon, GA 31210-1845

Mailing address

440 Mall Blvd Ste C
Savannah, GA 31406-4868
Phone (912) 644-3340

Other practice location 1

4660 Riverside Park Blvd
Macon, GA 31210
Phone (478) 474-2114

Other identifiers 2

IdentifierTypeStateIssuer
983195000MedicaidMN
713638334EMedicaidGA

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
I20040311001241 GA Practitioner - Neurosurgery 4981593647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tattnall Hospital Company LLCGroup PAC ID 6204907124, 47 clinicians

Practice addresses (Care Compare)

121 N Crest Blvd
Macon, GA 31210-1845
Phone (478) 841-9333

210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300

247 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-1000

257 S Main St
Reidsville, GA 30453-4605
Phone (912) 557-8990

42 Truman Rd
Hawkinsville, GA 31036-4644
Phone (478) 783-4190

425 N Cobb St
Milledgeville, GA 31061-2634
Phone (478) 456-9866

601 Ferncrest Dr
Suite 1
Sandersville, GA 31082-1891
Phone (478) 357-2332

Hospital & facility affiliations

  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • Washington County Regional Medical Center Hospital, Sandersville, GA, CCN 110086
  • Navicent Health Baldwin Hospital, Milledgeville, GA, CCN 110150
  • Optim Medical Center - Tattnall Hospital, Reidsville, GA, CCN 111323
  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

Merit-based Incentive Payment System (MIPS)

Final score
54.22 of 100Reported as group
Quality
71.46
Promoting interoperability
0
Improvement activities
40
Cost
59.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion36
Laminectomy or laminotomy (partial removal of spine bones)13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
052640GAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Sports Medicine & Orthopaedic Clinic, PC CurrentSince Sep 5, 2023 Accepting new patients
Tattnall Hospital Company, LLC Current Accepting new patients
Tattnall Hospital Company, LLC Neurological Surgery CurrentSince Oct 4, 2017 Accepting new patients
Tattnall Hospital Company, LLC Neurological Surgery CurrentSince Oct 4, 2017 Accepting new patients
Tattnall Hospital Company, LLC Neurological Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Neurological Surgery Past Accepting new patients
Tattnall Hospital Company LLC Neurological Surgery Past Accepting new patients
Tattnall Hospital Company LLC Neurological Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Neurological Surgery Past Accepting new patients
Kevin L. Stevenson, M.D., P.a. Neurological Surgery PastSince May 20, 2009 Accepting new patients
Minnesota Neurovascular & Skull Base Surgery Neurological Surgery PastSince Feb 1, 2002 Accepting new patients
Tattnall Hospital Company LLC Neurological Surgery Past Accepting new patients
Tattnall Hospital Company, LLC Neurological Surgery Past Accepting new patients

Locations

242 Industrial Blvd
Dublin, GA 31021
Phone (478) 272-3140

42 Truman Rd
Hawkinsville, GA 31036
Phone (478) 783-4190

790 Veterans Parkway
Ste 111
Hinesville, GA 31313
Phone (912) 368-3868

1625 Hardeman Ave
Macon, GA 31201
Phone (478) 474-2114

4660 Riverside Park Blvd
Macon, GA 31210
Phone (478) 471-6300

121 N Crest Blvd
Macon, GA 31210
Phone (478) 471-9500

425 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-1034

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

601 Ferncrest Dr
Ste 1
Sandersville, GA 31082
Phone (478) 357-2332

440 Mall Blvd
Ste C
Savannah, GA 31406

460 Mall Blvd
Ste B
Savannah, GA 31406
Phone (912) 644-1626

1724 Old Reynolds St
#B
Waycross, GA 31501

Interoperability endpoints

  • Direct secure messaging: kevin.stevenson.1@16403.direct.athenahealth.com
  • Direct secure messaging: kstevenson446775@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1821042946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MALL BLVD STE C",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064868",
            "telephone_number": "912-644-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N CREST BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101845",
            "telephone_number": "478-841-9333",
            "fax_number": "478-272-3139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 Riverside Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "31210",
            "country_code": "US",
            "telephone_number": "478-474-2114",
            "fax_number": "478-474-8001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "052640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "983195000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "713638334E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.