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AVERY STEVONS
NPI 1124829007
Physician Assistant in Charleston, SC

Active since March 24, 2025PECOS Enrolled
1483 TOBIAS GADSON BLVD STE 208, CHARLESTON, SC 29407(843) 609-2309(843) 727-8240 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2025, Mar 24, 2025 (2 updates tracked since 2025).

About Avery Stevons NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERY STEVONS (NPI 1124829007) is an individual physician assistant in Charleston, South Carolina, licensed in South Carolina (5803) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124829007
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAVERY STEVONS
Location Address1483 TOBIAS GADSON BLVD STE 208Charleston, SC 29407-4796
Mailing Address1280 Appling Dr Unit 310Mount Pleasant, SC 29464-4789 · (517) 614-7513
Phone(843) 609-2309
Fax(843) 727-8240
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateMay 8, 20252 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1124829007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · 5803
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1483 TOBIAS GADSON BLVD STE 208, Charleston, SC 29407
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avery Stevons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADELEINE HODGE
Physician Assistant
1483 TOBIAS GADSON BLVD STE 208
CHARLESTON, SC 29407
Charleston County (601) 513-6073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avery Stevons's NPI number?

The NPI number for Avery Stevons is 1124829007. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Avery Stevons located?

Avery Stevons practices at 1483 Tobias Gadson Blvd Ste 208, Charleston, SC 29407. The listed phone number is (843) 609-2309.

What is Avery Stevons's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Avery Stevons enrolled in Medicare?

Yes. Avery Stevons is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Avery Stevons was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.