Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jimmy Gregory Stevens

Individual provider Physician Assistant · NPI 1487294179

Jimmy Gregory Stevens is a Physician Assistant in Myrtle Beach, South Carolina. Qualified in 2019, 7 years ago. Practices with Piedmont Physician Network LLC, a 96-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
7
Licensed in
SC
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

920 Doug White Dr Ste 130
Myrtle Beach, SC 29572-4180
Phone: (843) 848-1440
Fax: (843) 839-1654
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 222 Herlong Ave S, Rock Hill, SC 29732-1158 — (803) 329-1234

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3455 (SC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1487294179
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 9, 2020
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Piedmont Physician Network Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Myrtle Beach