Individual provider Active NPI

Evan Gilchrist, NP-C

  • Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1053981704
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN254199 Issued in GA
Practice address
2701 N Decatur Rd FL Suite520
Decatur, GA 30033-5918
Phone
(404) 501-1000
NPI assigned
Jun 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN254199 GA Primary

Addresses

Primary practice location

2701 N Decatur Rd FL Suite520
Decatur, GA 30033-5918

Mailing address

133 Radford Cir SW
Marietta, GA 30060-6373
Phone (678) 982-0309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901001835 GA Practitioner - Nurse Practitioner 1456757392 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fusion Sleep LLCGroup PAC ID 1254346083, 10 clinicians

Practice addresses (Care Compare)

3650 Mansell Rd
Suite 100
Alpharetta, GA 30022-3068
Phone (678) 990-3962

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN254199GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Aug 15, 2021 Accepting new patients
Fusion Sleep LLC CurrentSince Oct 15, 2023 Accepting new patients
Cep America LLC Current Accepting new patients
Cep America LLC CurrentSince Aug 15, 2021 Accepting new patients
Fusion Sleep Medical LLC CurrentSince Oct 15, 2023 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3650 Mansell Rd
Ste 125
Alpharetta, GA 30022
Phone (678) 990-3962

3650 Mansell Rd
Ste 100
Alpharetta, GA 30022
Phone (678) 990-3962

2701 N Decatur Rd
Ste 520
Decatur, GA 30033
Phone (404) 501-1000

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374

4265 Johns Creek Pkwy
#A
Suwanee, GA 30024
Phone (678) 990-3962

4245 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 990-3962

Interoperability endpoints

  • Direct secure messaging: evan.gilchrist.1@32234.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1053981704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 RADFORD CIR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606373",
            "telephone_number": "678-982-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR RD FL SUITE520",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335918",
            "telephone_number": "404-501-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILCHRIST",
        "first_name": "EVAN",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN254199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.