Active NPI
Kevin Lee Stevenson, MD
- Neurological Surgery Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 052640
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 983195000 | Medicaid | MN | |
| 713638334E | Medicaid | GA |
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
Enrollment records 1
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
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
- Washington County Regional Medical Center
- Navicent Health Baldwin
- Optim Medical Center - Tattnall
- Emory Houston Hospital Warner Robins
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.22 of 100
- Quality
- 71.46
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 59.28
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 36 |
| 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052640 | GA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Sports Medicine & Orthopaedic Clinic, PC | Current | Accepting new patients | |
| Tattnall Hospital Company, LLC | Current | Accepting new patients | |
| Tattnall Hospital Company, LLC | Neurological Surgery | Current | Accepting new patients |
| Tattnall Hospital Company, LLC | Neurological Surgery | Current | 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 | Past | Accepting new patients |
| Minnesota Neurovascular & Skull Base Surgery | 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 |
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
- kevin.stevenson.1@16403.direct.athenahealth.com
- 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.
-
- Critical Access Hospital
- Reidsville, GA
- NPI 1790942381
-
- Neurological Surgery Physician
- Saint Paul, MN
- NPI 1275767865
-
- Orthopaedic Surgery Physician
- Macon, GA
- NPI 1396760260
-
- Orthopaedic Surgery Physician
- Claxton, GA
- NPI 1164742367
Neurological Surgery
-
- Orthopaedic Surgery Physician
- Sylvania, GA
- NPI 1386455376
Neurological Surgery
-
- Orthopaedic Surgery Physician
- Reidsville, GA
- NPI 1518613728
Neurological Surgery
-
- Neurological Surgery Physician
- Hawkinsville, GA
- NPI 1578197331
-
- Neurological Surgery Physician
- Macon, GA
- NPI 1750890562
-
- Orthopaedic Surgery Physician
- Sandersville, GA
- NPI 1306569520
Neurological Surgery
-
- Pain Medicine Physician
- Hinesville, GA
- NPI 1326409442
Neurological Surgery
-
- Internal Medicine Physician
- Dublin, GA
- NPI 1558878884
Neurological Surgery
-
- Orthopaedic Surgery Physician
- Baxley, GA
- NPI 1588103592
Neurological Surgery
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Sandersville, GA
- NPI 1396770004
-
- Physical Therapy Clinic/Center
- Sandersville, GA
- NPI 1528619491
Hospital
-
- General Acute Care Hospital
- Perry, GA
- NPI 1891808499
-
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
- General Acute Care Hospital
- Milledgeville, GA
- NPI 1841701562
-
- Critical Access Hospital
- Reidsville, GA
- NPI 1790942381
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.