Baron C Evans

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

326775 Issued in MS

Practice address

427 Emerald TRL
Brandon, MS 39047-6513

Phone

(601) 757-7306

NPI assigned

Nov 1, 2023

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

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.

• Mack Charon Veterans Foundation, LLC

  • Home Health Agency
  • Brandon, MS
  • NPI 1992578777
  NPD Authorized official

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1013780915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 EMERALD TRL",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 EMERALD TRL",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476513",
            "telephone_number": "601-757-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BARON",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MS",
            "license": "326775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enduracare Acute Care Services LLC
• Erica Sutton,RN
• Kayla Anthony Erickson, LPC
• Erin Green DDS PC
• Brian K Ervin
• Picton Timothy Evans, PHARMD
• Excel Physical Therapy and Wellness Center, PLLC
• Mary E Fair
• Family Health Care Clinic, Inc
• Family Health Care Clinic, Inc.

• Licensed Practical Nurse in Brandon, MS
• Providers in Brandon, MS by specialty
• Licensed Practical Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.