| Dr James Mattingly Stevens, MD | |
|
1265 Highway 54 W, Suite 500b, Fayetteville, GA 30214-4548 | |
| (770) 719-5660 | |
| (678) 817-4339 |
| Full Name | Dr James Mattingly Stevens |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 17 Years |
| Location | 1265 Highway 54 W, Fayetteville, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265680730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 65900 (Georgia) | Primary |
| 174400000X | Specialist | 065900 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Providers Llc | 9830082825 | 425 |
| Entity Name | Piedmont Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Entity Name | Piedmont Specialty Hospital Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699290510 PECOS PAC ID: 4183986490 Enrollment ID: O20180327001180 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Mattingly Stevens, MD 1265 Highway 54 W Ste 202, Fayetteville, GA 30214-4537 Ph: (678) 336-5951 | Dr James Mattingly Stevens, MD 1265 Highway 54 W, Suite 500b, Fayetteville, GA 30214-4548 Ph: (770) 719-5660 |
Dr. Janine Nicole Pettiford, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 325 North Jeff Davis Dr, Fayetteville, GA 30214 Phone: 770-461-1337 Fax: 770-461-0922 | |
Walker Shearon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W Ste 500b, Fayetteville, GA 30214 Phone: 404-265-4411 | |
Taheisha Rena Deese, NP Surgery Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W Ste 305, Fayetteville, GA 30214 Phone: 770-719-5660 | |
Meghan Morgan, CST Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 Yorktown Dr., Suite 110, Fayetteville, GA 30214 Phone: 770-461-2101 | |
Mio Yanagisawa, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1279 Highway 54 W Ste 100, Fayetteville, GA 30214 Phone: 770-719-5710 | |
Russell Andrew Wilson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1265 Highway 54 W Ste 500b, Fayetteville, GA 30214 Phone: 770-719-5660 Fax: 678-336-5955 |