Active NPI
Surgical Associates of Asheboro, PLLC
- Surgery Physician
- Greensboro, NC
National Provider Identifier
1184686180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SURGICAL ASSOCIATES OF ASHEBORO, PLLC
- Practice address
- 2401 S Side Blvd
Greensboro, NC 27406-3311 - Phone
- (336) 604-2300
- Fax
- (336) 625-1136
- NPI assigned
- Apr 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Alan Evans, MD
- Title
- Physcian/Owner
- Phone
- (336) 963-2007
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
2401 S Side Blvd
Greensboro, NC 27406-3311
Mailing address
2537 Mountain Lake Rd
Asheboro, NC 27205-4497
Phone (336) 963-2007
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89012TW | Medicaid | NC | |
| 012TW | Other | NC | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2401 S Side Blvd
Greensboro, NC 27406
Phone (336) 271-2800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Greensboro, NC
- NPI 1689637290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766102400000",
"number": "1184686180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2537 MOUNTAIN LAKE RD",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272054497",
"telephone_number": "336-963-2007",
"fax_number": "336-625-1136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S SIDE BLVD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274063311",
"telephone_number": "336-604-2300",
"fax_number": "336-625-1136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL ASSOCIATES OF ASHEBORO, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-05",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PHYSCIAN/OWNER",
"authorized_official_telephone_number": "336-963-2007",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89012TW",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "012TW",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.