Active NPI
Evelyn Rebecca Ford Twentyman, MD
- Student in an Organized Health Care Education/Training Program
- Atlanta, GA
National Provider Identifier
1194017293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4770 Buford Hwy
Atlanta, GA 30341-3717 - Phone
- (770) 488-6308
- NPI assigned
- May 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
4770 Buford Hwy
Atlanta, GA 30341-3717
Mailing address
21 Lakeview Dr NE
Atlanta, GA 30317-2640
Phone (503) 729-6268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1194017293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 LAKEVIEW DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303172640",
"telephone_number": "503-729-6268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 BUFORD HWY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303413717",
"telephone_number": "770-488-6308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWENTYMAN",
"first_name": "EVELYN",
"middle_name": "REBECCA FORD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-06",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.