Christopher Martin Everett, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10003189A Issued in IN

Practice address

4000 Tulip Tree Drive
Industrial Health Services
Princeton, IN 47670

Phone

(812) 387-2922

Fax

(812) 387-2045

NPI assigned

Jan 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Premise Health of Indiana Medical PC

  • Occupational Medicine Clinic/Center
  • Princeton, IN
  • NPI 1548750466
  NPD (past)

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1124618376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 COLONIAL GARDEN RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152108",
            "telephone_number": "812-305-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 TULIP TREE DRIVE",
            "address_2": "INDUSTRIAL HEALTH SERVICES",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "47670",
            "telephone_number": "812-387-2922",
            "fax_number": "812-387-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "CHRISTOPHER",
        "middle_name": "MARTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.008883",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003189A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Dillingham, LCSW
• Lauren Durchholz, M.S. CCC-SLP
• William Curtis Earnest V, FNP-C
• Lori Michelle Edwards, PHARMD
• Jessy Roy Emmett, HIS
• Eye Center of Southwestern Indiana PC
• Elaine Fortner, RPH
• Brianna Nicole Garcia, FNP-BC
• Mary Elizabeth Garner, PT
• Rebekah R Garner, LAT, ATC

• Physician Assistant in Princeton, IN
• Providers in Princeton, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.