Andrew Edward Everett, MD (ANTICIPATED)

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME165116 Issued in FL

Practice address

305 Memorial Medical Pkwy Ste 300
Daytona Beach, FL 32117-5170

Phone

(386) 231-3600

Fax

(386) 231-3605

NPI assigned

Mar 27, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1134581283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947381",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947381",
            "telephone_number": "386-231-4529",
            "fax_number": "386-672-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MEMORIAL MEDICAL PKWY STE 300",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175170",
            "telephone_number": "386-231-3600",
            "fax_number": "386-231-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "ANDREW",
        "middle_name": "EDWARD",
        "credential": "MD (ANTICIPATED)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-27",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME165116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsey Evans
• Matthew Evans, CRNA
• Sara Josephine Evans, PA-C
• Monique Evelyn, LMHC
• Evencare LLC
• Joel Everett, PA
• Mary Kathryn Everett, MD
• Evolution Health & Performance LLC
• Exalt Health Rehabilitation Hospital Daytona LLC
• Excellence Health Care at Home, LLC

• All providers in Daytona Beach, FL
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.