JOHN A. STEVENSON PA-C NPI 1134102247

NPI Information

NPI: 1134102247
Provider Name: JOHN A. STEVENSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1800 12TH ST
MERIDIAN, MS
ZIP 39301
Phone: (601) 703-9639
Get Directions

John A. Stevenson, PA-C is a medical physician assistant in Meridian, MS. John A. Stevenson, PA-C NPI is 1134102247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1800 12TH ST
MERIDIAN, MS
ZIP 39301-158
Phone: (601) 703-9639
Fax: (601) 703-3273

The enumeration date for this NPI number is 11/22/2005 and was last updated on 3/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA009	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00113835	OTHER		RAILROAD MEDICARE
2	009949515	MEDICAID	ALABAMA
3	01787006	MEDICAID	MISSISSIPPI
4	P81233	MEDICARE UPIN
5	970000026	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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