Individual provider Active NPI

Jonathan M. Evans, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Charlottesville, VA
National Provider Identifier
1184793705
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
0101231710 Issued in VA
Practice address
1150 Northwest Dr
Charlottesville, VA 22901-2309
Phone
(434) 249-7322
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 0101231710 VA Primary

Addresses

Primary practice location

1150 Northwest Dr
Charlottesville, VA 22901-2309

Mailing address

PO Box 6126
Charlottesville, VA 22906-6126
Phone (434) 249-7322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20060329000582 VA Practitioner - Internal Medicine 3173531340 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101231710VAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary P Evans MD PLC CurrentSince Aug 1, 2009 Accepting new patients
Silversage Physician Services of Florida, PLLC Geriatric Medicine PastSince Oct 1, 2016 Accepting new patients

Locations

490 Hillsdale Dr
Charlottesville, VA 22901
Phone (434) 951-4200

1150 Northwest Dr
Charlottesvle, VA 22901
Phone (434) 466-3142

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Monroe Health & Rehab CenterCharlottesville, VA, CCN 495326 Skilled nursing facility Adp of the SNF Sep 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1184793705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6126",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229066126",
            "telephone_number": "434-249-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NORTHWEST DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012309",
            "telephone_number": "434-249-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JONATHAN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101231710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.