Active NPI
C. Simone Evans, D.C.
- Chiropractor
- Decatur, GA
National Provider Identifier
1205076163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 005893
- Practice address
- 2853 Candler Rd
Suite 5
Decatur, GA 30034-1433 - Phone
- (404) 212-7332
- Fax
- (404) 212-7694
- NPI assigned
- Mar 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 005893 | GA | Primary |
Addresses
Primary practice location
2853 Candler Rd
Suite 5
Decatur, GA 30034-1433
Mailing address
2853 Candler Rd
Suite 5
Decatur, GA 30034-1433
Phone (404) 212-7332
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1205076163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2853 CANDLER RD",
"address_2": "SUITE 5",
"city": "DECATUR",
"state": "GA",
"postal_code": "300341433",
"telephone_number": "404-212-7332",
"fax_number": "404-212-7694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2853 CANDLER RD",
"address_2": "SUITE 5",
"city": "DECATUR",
"state": "GA",
"postal_code": "300341433",
"telephone_number": "404-212-7332",
"fax_number": "404-212-7694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "C.",
"middle_name": "SIMONE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-04",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "005893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.