Active NPI
Johnah Briann Evans
- Speech-Language Pathologist
- Lawton, OK
National Provider Identifier
1124881685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6108
- Practice address
- 6302 SW Lee Blvd
Lawton, OK 73505-9103 - Phone
- (580) 536-6800
- NPI assigned
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6108 | OK | Primary |
Addresses
Primary practice location
6302 SW Lee Blvd
Lawton, OK 73505-9103
Mailing address
1 Pond St
Arden, NC 28704-8500
Phone (828) 774-5222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2222 Sullivan TRL
Easton, PA 18040-7958
250 Enon CT SW
Atlanta, GA 30331-8410
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6108 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Weston Group Inc. | Current | Accepting new patients | |
| The Weston Group Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812
4838 S Cobb Dr SE
Smyrna, GA 30080
Phone (678) 710-1834
Organizations & group practices 2
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.
-
- Physical Therapist
- Easton, PA
- NPI 1750250759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1124881685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 POND ST",
"city": "ARDEN",
"state": "NC",
"postal_code": "287048500",
"telephone_number": "828-774-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6302 SW LEE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735059103",
"telephone_number": "580-536-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JOHNAH",
"middle_name": "BRIANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "6108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.