Organization Active NPI

Michelle Evans, PC

  • Adult Medicine Physician
  • Atlanta, GA
National Provider Identifier
1164563557
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
052171 Issued in GA
Legal business name
MICHELLE EVANS, PC
Practice address
105 Collier Rd NW Ste 1000
Atlanta, GA 30309-1730
Phone
(404) 596-1218
Fax
(855) 594-2307
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Dr. Michelle Y Evans, MD
Title
President
Phone
(404) 596-1218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 052171 GA Primary

Addresses

Primary practice location

105 Collier Rd NW Ste 1000
Atlanta, GA 30309-1730

Mailing address

105 Collier Rd NW Ste 1000
Atlanta, GA 30309-1730
Phone (404) 596-1218

Other identifiers 1

IdentifierTypeStateIssuer
GRP7546OtherGAMEDICARE PTAN

Other names 1

  • EFM To Go Doing business as

National Provider Directory

National Provider Directory

Locations

201 17th St NW
Ste 300
Atlanta, GA 30363
Phone (678) 237-6540

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1164563557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COLLIER RD NW STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091730",
            "telephone_number": "404-596-1218",
            "fax_number": "855-594-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COLLIER RD NW STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091730",
            "telephone_number": "404-596-1218",
            "fax_number": "855-594-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE EVANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-596-1218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "052171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GRP7546",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EFM To Go",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EFM To Go",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.