Nicholas Anatoly Evans, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9115061 Issued in FL

Practice address

315 E Ash St
Perry, FL 32347-2029

Phone

(850) 584-3278

NPI assigned

Oct 2, 2021

Last updated

Oct 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Cure LLCGroup PAC ID 3274877329, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Urgent Care Cure LLC

  • Urgent Care Clinic/Center
  • Ponte Vedra, FL
  • NPI 1881182335
  Medicare reassignment Care Compare group NPD
• Premier Medical Clinic

  • Internal Medicine Physician
  • Perry, FL
  • NPI 1518926799
  Medicare reassignment
• Urgent Care Cure, LLC

  • Urgent Care Clinic/Center
  • St Augustine, FL
  • NPI 1205608569
  NPD

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

{
    "created_epoch": "1633132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633132800000",
    "number": "1083386569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 SAINT JOHNS AVE APT 6201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322059487",
            "telephone_number": "571-245-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E ASH ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472029",
            "telephone_number": "850-584-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "NICHOLAS",
        "middle_name": "ANATOLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-02",
        "last_updated": "2021-10-02",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Beth Ellison, APRN
• Macy Ely, DNP, ARNP, FNP-C
• Ronald Emerick Jr., D.O.
• Nunnie Emery, ARNP
• Danny R Engle, PA
• Ramel Failma, MD
• Mary Jane Fish, RN
• Torrey Fitchett
• Florida Department of Health (Taylor County Health Department)
• Florida Emergency Consultants LLP

• Physician Assistant in Perry, FL
• Providers in Perry, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.