Active NPI
John W Evans Jr., MD
- Diagnostic Radiology Physician
- Charlotte, NC
National Provider Identifier
1043234776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 9800860
- Practice address
- 6324 Fairview Rd
Suite 120 a
Charlotte, NC 28210-3271 - Phone
- (704) 362-8444
- Fax
- (704) 362-3557
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9800860 | NC | |
| Specialist | 174400000X | DR-34301 | CO | |
| Specialist | 174400000X | F2652 | TX | |
| Specialist | 174400000X | 98-253 | NM | |
| Diagnostic Radiology Physician | 2085R0202X | 9800860 | NC | Primary |
Addresses
Primary practice location
6324 Fairview Rd
Suite 120 a
Charlotte, NC 28210-3271
Mailing address
3480 Preston Ridge Rd Ste 600
Credentialing Dept
Alpharetta, GA 30005-5462
Phone (770) 300-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1248T | Other | NC | BCBS OF NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR-34301 | CO | MD | Specialist |
| 9800860 | NC | MD | Specialist |
| 98-253 | NM | MD | Specialist |
| F2652 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1043234776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3480 PRESTON RIDGE RD STE 600",
"address_2": "CREDENTIALING DEPT",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300055462",
"telephone_number": "770-300-0101",
"fax_number": "770-300-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6324 FAIRVIEW RD",
"address_2": "SUITE 120 A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103271",
"telephone_number": "704-362-8444",
"fax_number": "704-362-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JOHN",
"middle_name": "W",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "9800860",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "DR-34301",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "F2652",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "98-253",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "9800860",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "1248T",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.