JIMMY GREGORY STEVENS
NPI 1487294179
Physician Assistant in Myrtle Beach, SC

Active since January 09, 2020PECOS EnrolledAccepts Medicare Assignment
920 DOUG WHITE DR STE 130, MYRTLE BEACH, SC 29572(843) 848-1440(843) 839-1654 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2022, Mar 29, 2020, Jan 11, 2020 (3 updates tracked since 2020).

About Jimmy Gregory Stevens NPPES

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

JIMMY GREGORY STEVENS (NPI 1487294179) is an individual physician assistant in Myrtle Beach, South Carolina, licensed in South Carolina (3455) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rock Hill, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1487294179
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJIMMY GREGORY STEVENS
Location Address920 DOUG WHITE DR STE 130Myrtle Beach, SC 29572-4180
Mailing Address920 Doug White Dr Ste 130Myrtle Beach, SC 29572-4180 · (843) 848-1440 · Fax (843) 839-1654
Fax(843) 839-1654
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 9, 2020
Last NPPES UpdateJanuary 15, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
NPI 1487294179 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 · 3455
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.
920 DOUG WHITE DR STE 130, Myrtle Beach, SC 29572

Secondary Practice Location 1

Location 1222 Herlong Ave SRock Hill, SC 29732-1158 · Phone (803) 329-1234 · Fax (803) 328-1785

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jimmy Gregory Stevens is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385073477
PECOS Enrollment IDI20200413001328
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 29572 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 9

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

Orthopaedic Surgery
920 DOUG WHITE DR STE 130
MYRTLE BEACH, SC 29572
Physician Assistant
920 DOUG WHITE DR STE 130
MYRTLE BEACH, SC 29572
Nurse Practitioner (Acute Care)
920 DOUG WHITE DR STE 130
MYRTLE BEACH, SC 29572
Physician Assistant
920 DOUG WHITE DR STE 130
MYRTLE BEACH, SC 29572
Orthopaedic Surgery
920 DOUG WHITE DR STE 130
MYRTLE BEACH, SC 29572
Orthopaedic Surgery
920 DOUG WHITE DR STE 130
MYRTLE BEACH, SC 29572
Orthopaedic Surgery
920 DOUG WHITE DR STE 130
MYRTLE BEACH, SC 29572
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
920 DOUG WHITE DR STE 130
MYRTLE BEACH, SC 29572

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 Jimmy Stevens's NPI number?

The NPI number for Jimmy Stevens is 1487294179. It was assigned to this individual provider in the NPPES registry on January 9, 2020.

Where is Jimmy Stevens located?

Jimmy Stevens practices at 920 Doug White Dr Ste 130, Myrtle Beach, SC 29572. The listed phone number is (843) 848-1440.

What is Jimmy Stevens's specialty?

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

Is Jimmy Stevens enrolled in Medicare?

Yes. Jimmy Stevens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jimmy Stevens accept?

Health plans from First Choice Next list Jimmy Stevens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jimmy Stevens was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.