Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIMMY GREGORY STEVENS
ActiveJIMMY GREGORY STEVENS is a Physician Assistant healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1487294179 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1487294179
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2020 (6.5972079865843 yrs)
- Last Updated
- Jan 15, 2025
- License
-
3455 (SC)
Practice Information
- Address
-
920 DOUG WHITE DR STE 130MYRTLE BEACH, SC, 295724180Browse SC providers · Browse ZIP 29572
- Phone
- 8438481440
- Fax
- 8438391654
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MYRTLE BEACH, SC
| Name | Credential | NPI |
|---|---|---|
| MRS. ASHLEY SMITH WILSON | P.A. | 1487655106 |
| RANDALL PAUL GROVE | PA | 1619969250 |
| MRS. ROBERTA RAE ALSWORTH | PA-C | 1790775385 |
| MRS. TRACY REYMORE BLACK | PA-C | 1033181193 |
| JOSEPH K BETHLE | PAC | 1235195850 |
| HISHAM IBRAHIM BASSIOUNI | PAC | 1205883105 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.