Phillip Michael Evans

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

060-R-0017 Issued in GA

Practice address

3190 Northeast Expy NE Ste 420
Atlanta, GA 30341-5304

Phone

(404) 634-1111

Fax

(404) 824-4142

NPI assigned

Sep 30, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Optimized Solutions, Inc.

  • Home Health Agency
  • Atlanta, GA
  • NPI 1215567037
  NPD Authorized official

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1093356255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 NORTHEAST EXPY NE STE 420",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415304",
            "telephone_number": "404-634-1111",
            "fax_number": "404-824-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 NORTHEAST EXPY NE STE 420",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415304",
            "telephone_number": "404-634-1111",
            "fax_number": "404-824-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "PHILLIP",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "060-R-0017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ohcs.optionscorp.com/",
            "affiliation": "N",
            "endpointDescription": "Database interface",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Query based exchange",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SQL",
            "address_1": "3190 Northeast Expy NE Ste 420",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303415304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Richard Evans, PHYSICIAN ASSISTANT
• Michael Leonard Evans, MSW
• Michelle Yvette Evans, M.D.
• Monica Evans, R.D.
• Nia I Evans, DPT
• Renee Evans
• Rodney L Evans
• Sara Morris Evans, RDN, LD
• Sean Evans
• Sean Spencer Evans, MD

• Home Health Registered Nurse in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Home Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.