Randall Brian Evans, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

19179 Issued in SC

Practice address

23 Main St
Suite 202
Hilton Head, SC 29926-1648

Phone

(843) 682-3583

Fax

(843) 682-3597

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: randall.evans@gadirect.net
• Direct secure messaging: randallevans@arms.allscriptsdirect.net

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.

• Southeast Lung & Critical Care Specialists, PC

  • Pulmonary Disease Physician
  • Bluffton, SC
  • NPI 1164789251
  Medicare reassignment NPD
• Southeast Lung & Criticial Care Specialists, PC

  • Pulmonary Disease Physician
  • Bluffton, SC
  • NPI 1881042315
  NPD
• Southeast Lung & Critical Care Specialists

  • Pulmonary Disease Physician
  • Baxley, GA
  • NPI 1366064164
  NPD

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1124096623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "address_2": "SUITE 202",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261648",
            "telephone_number": "843-682-3583",
            "fax_number": "843-682-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAIN ST",
            "address_2": "SUITE 202",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261648",
            "telephone_number": "843-682-3583",
            "fax_number": "843-682-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "RANDALL",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "SC",
            "license": "19179",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "19179",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "19179",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC RR MCARE",
            "identifier": "290013965",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T32088",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC RR MCARE GRP #",
            "identifier": "CI9902",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Edwards, MS
• Helen Croasdale Eichelsbacher, MS CCC/SLP
• Elevated Health LLC
• Emily Van Buren Mulcahy PSYD
• Robyn Erickson
• Kevin B Fader, D.M.D.
• Family Medicine of Hilton Head
• Christopher George Fisher, M.P.T.
• Laurie Ann Fisher, DPT
• Sara L Flood, OT

• Pulmonary Disease Physician in Hilton Head, SC
• Providers in Hilton Head, SC by specialty
• Pulmonary Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.