Natalie F Evans, NP-C
Individual provider Active NPI Family Nurse Practitioner · Gray, GA
NPI 1023315926 · NPPES record last updated Aug 4, 2016
Key facts
- NPI
- 1023315926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN168361 (GA)
- Practice address
- 260 W Clinton St
Gray, GA 31032-5430 - Phone
- (478) 986-4743
- NPI assigned
- Feb 12, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150212000523 | GA | Practitioner - Nurse Practitioner | 7012232192 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN168361 | GA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN168361 | GA | Yes |
Addresses
Primary practice location
260 W Clinton St
Gray, GA 31032-5430
Mailing address
260 W Clinton St
Gray, GA 31032-5430
Phone (478) 986-4743
Other providers in Gray, GA
- Sabine Doirin
- Ashley Danielle Douglas
- Dsi Macon, LLC
- Angela Montgomery Eells
- Tory Kirsten Etheridge
- Ga Pain and Behavioral Medicine Inc.
- Marci Gallagher
- Lacy Lee Gardner-Hattaway
- Kevin Wayne Garrett
- Georgia Therapy Services, LLC
All providers in Gray, GA · Family 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 Aug 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.