DR. KEISHA CONSUELLA STEVENS (MD) – Hospitalist Physician, NPI 1336120864

DR. KEISHA CONSUELLA STEVENS (MD) is a healthcare provider. based in Tifton, Georgia. specializing in INTERNAL MEDICINE, HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 0101237387 (VA). The NPI Number for DR. KEISHA CONSUELLA STEVENS (MD) is 1336120864

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEISHA CONSUELLA STEVENS (MD)
NPI
1336120864
Phone
(229) 382-7120
Address
901 18th St E
Enumeration Date
10 November 2005
Last Update Date
22 May 2025

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3367187597
Graduation Year
2001 (25 years ago)
PAC ID
2163473521
Group Practice PAC ID
1153234893
Professional Enrollment ID
I20050203000209
Address ID
NC271033013WI3333XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for DR. KEISHA CONSUELLA STEVENS (MD)

  • 901 18th St E

    Tifton, GA 317943648

    Phone: (229) 382-7120

    Type: Location

  • 2800 Godwin Blvd Fl 1

    Suffolk, VA 234348038

    Phone: (757) 934-4821

    Type: Location

  • 500 Jefferson St

    Whiteville, NC 284723634

    Phone: (910) 642-1776

    Fax: (910) 642-9305

    Type: Location

  • 830 Kempsville Rd Fl 1

    Norfolk, VA 235023920

    Phone: (757) 261-8070

    Type: Location

  • Columbus Regional Healthcare System, 500, Jefferson Street, McKenzie Woods, Whiteville, Columbus County, North Carolina, 28472, United States

    WHITEVILLE, NC 284723634

    Phone: (910) 642-1776

    Fax: (910) 642-9305

    Type: Location

  • Box Street, Port Charlotte, Charlotte County, Florida, 33948, United States

    CHARLOTTE, NC 282602530

    Phone: (910) 642-1776

    Fax: (910) 642-9305

    Type: Mailing

  • 1901 TATE SPRINGS RD

    LYNCHBURG, VA 245011109

    Phone: (434) 200-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2019-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (889 days ago).

Enrollment records

4

Earliest due date

2023-12-31

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
I20050203000209IHospitalistNCTBD
I20070220000858IHospitalistVATBD
I20131216001118IInternal MedicineGA2023-12-31
I20191230001083IInternal MedicineNHTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes158157$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes8282$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4343$0
View full utilization report →

Insurance plans in this area (ZIP 31794)

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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: 1153234893View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. KEISHA CONSUELLA STEVENS (MD)?
For DR. KEISHA CONSUELLA STEVENS (MD), use NPI 1336120864 as the unique 10-digit identifier.
Is there an active status for DR. KEISHA CONSUELLA STEVENS (MD)?
For scheduling context, DR. KEISHA CONSUELLA STEVENS (MD) is shown as active in the registry.
How would a patient describe DR. KEISHA CONSUELLA STEVENS (MD)'s focus?
For DR. KEISHA CONSUELLA STEVENS (MD), the primary taxonomy reads as Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is DR. KEISHA CONSUELLA STEVENS (MD) located near Tifton?
DR. KEISHA CONSUELLA STEVENS (MD) currently maps to Tifton, Georgia in this extract.
When was this NPI issued?
Enumeration for DR. KEISHA CONSUELLA STEVENS (MD) is noted as November 10, 2005 where the registry provides it.

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