Jim Lawrence McEvers, P.A. - C.

Individual provider Active NPI Medical Physician Assistant · Columbus, TX

NPI 1164484689 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1164484689
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
PA 00856 (TX)
Practice address
109 Shult Dr
Suite 101
Columbus, TX 78934-3015
Phone
(979) 732-5794
Fax
(979) 732-5795
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 00856TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Community Hospital Past Accepting new patients
Columbus Community Hospital Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 00856 TX Yes

Addresses

Primary practice location

109 Shult Dr
Suite 101
Columbus, TX 78934-3015

Mailing address

1046 Garden Oaks St
Columbus, TX 78934-1689
Phone (979) 732-3078

Other providers in Columbus, TX

All providers in Columbus, TX · Medical Physician Assistant in Texas

Sources for this page

Verify at the official NPI Registry.