NPIMap

Organization Active NPI

Evans Pediatrics LLC

  • Pediatrics Physician
  • Simpsonville, SC
National Provider Identifier
1184844847
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23304 Issued in SC
Legal business name
EVANS PEDIATRICS LLC
Practice address
104A W Georgia Rd
Simpsonville, SC 29681-2302
Phone
(864) 963-0400
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cheryl Lynae Evans, MDNPI 1871567172
Title
President
Phone
(864) 963-0400

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 23304 SC Primary

Addresses

Primary practice location

104A W Georgia Rd
Simpsonville, SC 29681-2302

Mailing address

104A W Georgia Rd
Simpsonville, SC 29681-2302
Phone (864) 963-0400

National Provider Directory

National Provider Directory

Locations

104 W Georgia Rd
#A
Simpsonville, SC 29681

104A W Georgia Rd
Simpsonville, SC 29681
Phone (864) 963-0400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184844847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104A W GEORGIA RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812302",
            "telephone_number": "864-963-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104A W GEORGIA RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812302",
            "telephone_number": "864-963-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LYNAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-963-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "23304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.