Jimmy Stevens
NPI 1487294179 · Physician Assistant · Myrtle Beach, SC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jimmy Stevens is a Physician Assistant provider in Myrtle Beach, SC (NPI 1487294179).
Provider details
- NPI number
- 1487294179
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 222 Herlong Ave SRock Hill, SC 29732-1158Phone: (803) 329-1234Fax: (803) 328-1785
Registry dates
- Enumerated
- 2020-01-09
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Frequently asked questions
- What is Jimmy Stevens's NPI number?
- Jimmy Stevens's National Provider Identifier (NPI) is 1487294179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jimmy Stevens's specialty?
- Jimmy Stevens is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jimmy Stevens located?
- Jimmy Stevens's practice location on file with NPPES is 920 Doug White Dr Ste 130, Myrtle Beach, SC 29572-4180.
- What is Jimmy Stevens's phone number?
- The practice phone number listed in the NPPES registry for Jimmy Stevens is (843) 848-1440.
- Does Jimmy Stevens accept Medicare?
- Jimmy Stevens is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jimmy Stevens's NPI active?
- Yes — Jimmy Stevens's NPI (1487294179) is active in the NPPES registry as of the last update on 2025-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.