Individual provider Active NPI

Joyce Evans, M.D.

  • Family Medicine Physician
  • Baltimore, MD
National Provider Identifier
1164454005
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D37036 Issued in MD
Practice address
4538 Edmondson Ave
Baltimore, MD 21229-1506
Phone
(410) 328-2273
Fax
(410) 362-1748
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D37036 MD Primary

Addresses

Primary practice location

4538 Edmondson Ave
Baltimore, MD 21229-1506

Mailing address

PO Box 64888
Baltimore, MD 21264-4888
Phone (800) 889-4939

Other identifiers 1

IdentifierTypeStateIssuer
526141400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20100520000059 MD Practitioner - Family Practice 1355470972 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Aug 1, 2018 Accepting new patients
University of Maryland Faculty Physicians Immediate Care, LLC CurrentSince Aug 1, 2018 Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Aug 1, 2018 Accepting new patients
University Care LLC Family Medicine Past Accepting new patients
University Care Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4538 Edmondson Ave
Baltimore, MD 21229
Phone (410) 328-2273

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1164454005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64888",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644888",
            "telephone_number": "800-889-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4538 EDMONDSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291506",
            "telephone_number": "410-328-2273",
            "fax_number": "410-362-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D37036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526141400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.