Susan Edith Evers, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103567 Issued in NC

Practice address

210 W Liberty St
Albemarle Mental Health Center
Williamston, NC 27892-1712

Phone

(252) 792-5151

Fax

(252) 792-0802

NPI assigned

Aug 9, 2007

Last updated

Aug 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Edith Lydia Evers Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Albemarle Mental Health Center

  • Mental Health Counselor
  • Elizabeth City, NC
  • NPI 1013012400
  NPD (past)

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1124210554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 EAST MAIN STREET",
            "address_2": "ALBEMARLE MENTAL HEALTH CENTER P.O. BOX 2367",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279062367",
            "telephone_number": "252-335-0803",
            "fax_number": "252-335-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W LIBERTY ST",
            "address_2": "ALBEMARLE MENTAL HEALTH CENTER",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921712",
            "telephone_number": "252-792-5151",
            "fax_number": "252-792-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERS",
        "first_name": "SUSAN",
        "middle_name": "EDITH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "EVERS",
            "middle_name": "LYDIA",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Faith Works Home Health Care
• Faith Works Home Health Care Inc

• Physician Assistant in Williamston, NC
• Providers in Williamston, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.