Individual provider Active NPI

Cynthia Jackson Evans, CRNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1063870368
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-088599 Issued in AL
Practice address
3302 15TH St Ste 100
Tuscaloosa, AL 35401-2732
Phone
(205) 558-0877
Fax
(659) 219-7033
NPI assigned
Feb 2, 2016
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 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 1-088599 AL Primary

Addresses

Primary practice location

3302 15TH St Ste 100
Tuscaloosa, AL 35401-2732

Mailing address

PO Box 746063
Atlanta, GA 30374-6063
Phone (312) 733-0373

Other practice location 1

1303 Washington St
Marion, AL 36756-3217
Phone (334) 247-1006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160322000649 AL Practitioner - Nurse Practitioner 1658678420 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Alabama, LLCGroup PAC ID 9133538432, 28 clinicians

Practice addresses (Care Compare)

151 N 20TH St
Opelika, AL 36801-5423
Phone (334) 203-1777

2415 Moores Mill Rd
Unit 230
Auburn, AL 36830-8483
Phone (334) 502-1117

3029 Allison Bonnett Memorial Dr
Suite 230
Hueytown, AL 35023-2467
Phone (205) 436-8270

633 Tuscaloosa Ave SW
Birmingham, AL 35211-1637
Phone (205) 235-4003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-088599ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vaughan Physician Practices LLC CurrentSince May 29, 2017 Accepting new patients
University of Alabama at Birmingham CurrentSince Jan 29, 2021 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
Paragon Contracting Services LLC CurrentSince Oct 1, 2017 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Mar 18, 2020 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Mar 18, 2020 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Nov 10, 2021 Accepting new patients
University of Alabama at Birmingham CurrentSince Jan 29, 2021 Accepting new patients
Vaughan Physician Practices, LLC Current Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Nov 10, 2021 Accepting new patients
Oak Street Health Physicians Group of Alabama, LLC Family CurrentSince Dec 8, 2025 Accepting new patients
Stopwatch Urgent Care Centers LLC CurrentSince Nov 27, 2023 Accepting new patients
Vaughan Physician Practices LLC CurrentSince May 29, 2017 Accepting new patients
Vaughan Physician Practices LLC Past Accepting new patients
Vaughan Physician Practices LLC Past Accepting new patients

Locations

2415 Moores Mill Rd
Unit 230
Auburn, AL 36830
Phone (334) 502-1117

1687 Center Point Pkwy
Ste 121
Birmingham, AL 35215
Phone (205) 557-7022

633 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 235-4003

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

1303 Washington St
Marion, AL 36756
Phone (334) 247-1006

1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100

1023 Medical Center Pkwy
Ste 200
Selma, AL 36701
Phone (334) 875-4184

1023 Medical Center Pkwy
Ste 305
Selma, AL 36701
Phone (334) 801-9952

1023 Medical Center Pkwy
Ste 401
Selma, AL 36701
Phone (334) 875-7173

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

3302 15th St
Ste 100
Tuscaloosa, AL 35401
Phone (205) 558-0877

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19364/brand/1/csg/21/fhir/r4

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1063870368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746063",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746063",
            "telephone_number": "312-733-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 15TH ST STE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012732",
            "telephone_number": "205-558-0877",
            "fax_number": "659-219-7033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 Washington St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "AL",
            "postal_code": "367563217",
            "country_code": "US",
            "telephone_number": "334-247-1006",
            "fax_number": "334-683-5737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CYNTHIA",
        "middle_name": "JACKSON",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-088599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.