CLIVE NORRIS STEPHENSON (PA) – Physician Assistant, NPI 1528104817

CLIVE NORRIS STEPHENSON (PA) is a healthcare provider. based in Ft stewart, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1073894 (GA). The NPI Number for CLIVE NORRIS STEPHENSON (PA) is 1528104817

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
CLIVE NORRIS STEPHENSON (PA)
NPI
1528104817
Phone
(912) 435-6933
Address
1061 HARMON AVE
Enumeration Date
30 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9155810712
Graduation Year
2006 (20 years ago)
PAC ID
3476968744
Group Practice PAC ID
4587827506
Professional Enrollment ID
I20210804002605
Address ID
TX799367654EL1400XDRXX401
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

4,431 PHYSICIAN ASSISTANT in GA

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Provider Addresses for CLIVE NORRIS STEPHENSON (PA)

  • Winn Army Community Hospital, 1061, Harmon Avenue, Bowen, Fort Stewart, Liberty County, Georgia, 31314, United States

    STE 1DO3

    FT STEWART, GA 313145674

    Phone: (912) 435-6933

    Fax: (912) 435-5966

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $589.

Total Amount is formed as General ($589) + Research ($0) + Ownership ($0) = $589.

Last reported payment date: 2023-08-21 • Largest payer in this snapshot: Arthrex, Inc. ($438).

Total Amount

$589

General + Research + Ownership

Payments

9

Total payment records

General Amount

$589

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-08-04

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
I20210804002605IPhysician AssistantTXTBD

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 31314)

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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: 4587827506View full group profile
NameSpecialtyState
P O D I A T R YTX
Orthopedic SurgeryTX
Family PracticeTX
Physical Medicine And RehabilitationTX
Physician AssistantTX
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physician AssistantTX
Physical Medicine And RehabilitationTX
Orthopedic SurgeryTX

Reviews

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Frequently asked questions

Is there an official ID for CLIVE NORRIS STEPHENSON (PA) in U.S. healthcare records?
The official identifier for CLIVE NORRIS STEPHENSON (PA) is NPI 1528104817.
Is CLIVE NORRIS STEPHENSON (PA) still an active registrant?
CLIVE NORRIS STEPHENSON (PA) carries an active NPI according to the public dataset.
What expertise is attributed to CLIVE NORRIS STEPHENSON (PA)?
CLIVE NORRIS STEPHENSON (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is CLIVE NORRIS STEPHENSON (PA) associated with Ft Stewart?
Public fields place CLIVE NORRIS STEPHENSON (PA) around Ft Stewart, Georgia. Always confirm the exact site before visiting.
Does CLIVE NORRIS STEPHENSON (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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