Active NPI
Amelia R Stevens, MD
- Pediatrics Physician
- Cordele, GA
National Provider Identifier
1952374985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 056653
- Practice address
- 408 E 3Rd Ave
Cordele, GA 31015 - Phone
- (229) 271-2229
- Fax
- (229) 276-3633
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 056653 | GA | Primary |
Addresses
Primary practice location
408 E 3Rd Ave
Cordele, GA 31015
Mailing address
PO Box 5007
Cordele, GA 31010
Phone (229) 271-4656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stevens Health Services PC | Current | Accepting new patients |
Interoperability endpoints
- amelia.stevens@crispregional.gadirect.net
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Cordele, GA
- NPI 1467779082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1952374985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5007",
"city": "CORDELE",
"state": "GA",
"postal_code": "31010",
"telephone_number": "229-271-4656",
"fax_number": "229-271-4654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 E 3RD AVE",
"city": "CORDELE",
"state": "GA",
"postal_code": "31015",
"telephone_number": "229-271-2229",
"fax_number": "229-276-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "AMELIA",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "056653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordele, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.