Susan Edith Evers, P.A.

Individual provider Active NPI Physician Assistant · Williamston, NC

NPI 1124210554 · NPPES record last updated Aug 9, 2007

Key facts

NPI
1124210554
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
103567 (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
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Mental Health Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103567 NC Yes

Addresses

Primary practice location

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

Mailing address

305 East Main Street
Albemarle Mental Health Center P.O. Box 2367
Elizabeth City, NC 27906-2367
Phone (252) 335-0803

Other names

  • Edith Lydia Evers Other name

Other providers in Williamston, NC

All providers in Williamston, NC · Physician Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.