Monica T. Evans, NP
Individual provider Active NPI Nurse Practitioner · Warner Robins, GA
NPI 1013280338 · NPPES record last updated Feb 16, 2012
Key facts
- NPI
- 1013280338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN150100 (GA)
- Practice address
- 116 S Houston Rd
Warner Robins, GA 31088-3904 - Phone
- (478) 923-0131
- Fax
- (478) 922-6530
- NPI assigned
- Feb 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN150100 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Medical Assoc., LLC | Past | Accepting new patients | |
| Pediatric Care After Hours | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN150100 | GA | Yes |
Addresses
Primary practice location
116 S Houston Rd
Warner Robins, GA 31088-3904
Mailing address
102 Glenda Dr
Bonaire, GA 31005-3564
Phone (478) 718-1638
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN150100 | Other | GA | NP LICENSE |
| 20120246 | Other | GA | NP- BOARD NUMBER |
Other providers in Warner Robins, GA
- Essence of Success Life Coaching & Counseling, LLC
- Alicia Evans
- Arwen Lee Evans
- Kenneth Evans
- Kimberly Thigpen Evans
- Sonia D Evans
- Susan Elizabeth Evans
- Veronica Vaughn Evans
- Excelsior Medical Billing & Services LLC
- Eye Care Associates of Middle Ga, LLC
All providers in Warner Robins, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.