ROGER W BEVILLE (MD) – Family Medicine Physician, NPI 1154435550

ROGER W BEVILLE (MD) is a healthcare provider. based in Glennville, Georgia. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 028377 (GA). The NPI Number for ROGER W BEVILLE (MD) is 1154435550

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
ROGER W BEVILLE (MD)
NPI
1154435550
Phone
(912) 654-4599
Address
1000 B. NORTH VETERANS BOULEVARD
Enumeration Date
19 August 2006
Last Update Date
26 January 2017

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
8008276536
Graduation Year
1979 (47 years ago)
PAC ID
0143322370
Group Practice PAC ID
6204907124
Professional Enrollment ID
I20070219000614
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for ROGER W BEVILLE (MD)

  • 1000 B. NORTH VETERANS BOULEVARD

    GLENNVILLE, GA 30427

    Phone: (912) 654-4599

    Fax: (912) 644-5260

    Type: Location

  • 460, Mall Boulevard, Grove Park, Savannah, Chatham County, Georgia, 31406, United States

    SUITE B

    SAVANNAH, GA 314064801

    Phone: (912) 644-5300

    Fax: (912) 644-3369

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070219000614IFamily PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30427)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204907124View full group profile
NameSpecialtyState
N E U R O S U R G E R YGA
-GA
Orthopedic SurgeryGA
Nurse PractitionerGA
Nurse PractitionerGA
Physical Medicine And Rehabilitation, Interventional Pain ManagementGA
Nurse PractitionerGA
-GA
Hand Surgery, Orthopedic SurgeryGA
Pain Management, AnesthesiologyGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for ROGER W BEVILLE (MD) in U.S. healthcare records?
The official identifier for ROGER W BEVILLE (MD) is NPI 1154435550.
Active or inactive — what applies to ROGER W BEVILLE (MD)?
You should see ROGER W BEVILLE (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for ROGER W BEVILLE (MD)?
At a glance, ROGER W BEVILLE (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ROGER W BEVILLE (MD) located near Glennville?
ROGER W BEVILLE (MD) currently maps to Glennville, Georgia in this extract.
Can I trust this NPI listing for ROGER W BEVILLE (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

PAUL W THOMPSON (M.D.)

Family Medicine Physician
601 S VETERANS BLVD
NPI: 1265515019

SOUTHERN MEDICAL GROUP

Family Medicine Physician
601 S VETERANS BLVD
NPI: 1871677880

Unknown Individual

Family Medicine Physician
601 S. VETERANS BLVD
NPI: 1447339015

Optim Primary Care- Glennville

Rural Health Clinic/Center
Savannah Christian Preparatory School, Oak Forest Drive, DeRenne Terrace, Savannah, Chatham County, Georgia, 31404, United States
NPI: 1972762508

SOUTHERN MEDICAL ASSOCIATES, LLC

Family Medicine Physician
601 S VETERANS BLVD
NPI: 1356764450

JOSHUA JAMES WICKSTROM (MD)

Student in an Organized Health Care Education/Training Program
460 MALL BLVD STE B
NPI: 1275026908

HEART OF GEORGIA PRIMARY CARE, LLC

Family Nurse Practitioner
3637 ABBEVILLE HWY
NPI: 1780244301

YOUR CHOICE HEALTHCARE PC

Family Medicine Physician
706 W BARNARD ST
NPI: 1689397200

THOMPSON MEDICAL ASSOCIATES, LLC

Family Medicine Physician
601 S VETERANS BLVD
NPI: 1700756962