Jack Parmer Evans, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD.3438 Issued in AL

Practice address

1301 E South Blvd
Montgomery, AL 36116-2317

Phone

(334) 281-8008

Fax

(334) 281-0090

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Outreach Ministries

  • Voluntary or Charitable Agency
  • Montgomery, AL
  • NPI 1831217173
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013035401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162317",
            "telephone_number": "334-281-8008",
            "fax_number": "334-281-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162317",
            "telephone_number": "334-281-8008",
            "fax_number": "334-281-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JACK",
        "middle_name": "PARMER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.3438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katalin Simanyi Esther, CRNP
• Mikayla Eubanks, PA-C
• Cary B. Evans, CCSH, RPSGT
• Chlora Leigh Evans, R.N
• Grayson Patrick Evans, PT,DPT
• Jawanna Monae Evans
• Justin Evans
• Kaitlin T Evans, NP
• Mary Evans, N.P.
• Nathan Kyle Evans, CRNP

• Internal Medicine Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.