Individual provider Active NPI

Amy Evans, FNP-C

  • Family Nurse Practitioner
  • Dallas, GA
National Provider Identifier
1063800548
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN183099 Issued in GA
Practice address
273 Macland Rd
Dallas, GA 30132-5052
Phone
(770) 441-4001
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN183099 GA Primary

Addresses

Primary practice location

273 Macland Rd
Dallas, GA 30132-5052

Mailing address

105 Village Walk Ste 280
Dallas, GA 30132-5506
Phone (770) 800-6780

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
I20150318000848 GA Practitioner - Nurse Practitioner 6305163056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mercer University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

273 Macland Rd
Dallas, GA 30132-5052
Phone (770) 441-4001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
It Is Well Healthcare, LLC CurrentSince Jan 17, 2021 Accepting new patients
Thrive Wellness Care, LLC CurrentSince Apr 14, 2025 Accepting new patients
3:16 Urgent Care LLC Past Accepting new patients
Dr Eddy R Nestle D C Inc PastSince Apr 14, 2025 Accepting new patients

Locations

273 Macland Rd
Dallas, GA 30132
Phone (770) 441-4001

105 Village Walk
Ste 280
Dallas, GA 30132
Phone (770) 800-6780

Organizations & group practices 4

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": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1063800548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VILLAGE WALK STE 280",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325506",
            "telephone_number": "770-800-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 MACLAND RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325052",
            "telephone_number": "770-441-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "AMY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN183099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

Verify at the official NPI Registry.