Evan Lee Underwood, M.D.
Individual provider Active NPI Family Medicine Physician · Mount Olive, MS
NPI 1205148459 · NPPES record last updated Aug 22, 2025
Key facts
- NPI
- 1205148459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- P8742 (TX)
- Practice address
- 420 Smith County Road 40
Mount Olive, MS 39119 - Phone
- (601) 517-6019
- NPI assigned
- Jul 3, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Mississippi School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Correct Care, Inc.
Practice addresses (Care Compare)
27190 Hwy 28
Hazlehurst, MS 39083-2224
Phone (604) 574-7000
Hospital & facility affiliations
- Tyler Holmes Memorial Hospital Cah
- Northwest Missississippi Regional Medical Center
- South Sunflower County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160121000224 | MS | Practitioner - Emergency Medicine |
1759507544 | Reassigns benefits to 13 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tishomingo Health Services, Inc. | Current |
Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| RH Hospitalist Medicine of Walthall General LLC | Current |
Accepting new patients | |
| South Sunflower County Hospital | Current |
Accepting new patients | |
| RH Emergency Medicine of Jefferson Davis LLC | Emergency Medicine | Current |
Accepting new patients |
| South Sunflower County Hospital | Current | Accepting new patients | |
| RH Hospitalist Medicine of Highland Community LLC | Current |
Accepting new patients | |
| RH Emergency Medicine of Walthall General LLC | Emergency Medicine | Current |
Accepting new patients |
| Copiah County Medical Center | Current |
Accepting new patients | |
| RH Emergency Medicine of Highland Community LLC | Emergency Medicine | Current |
Accepting new patients |
| South Sunflower County Hospital | Current | Accepting new patients | |
| RH Hospitalist Medicine of Marion General LLC | Current |
Accepting new patients | |
| RH Hospitalist Medicine of Jefferson Davis LLC | Current |
Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| South Sunflower County Hospital | Current |
Accepting new patients | |
| Keystone Medical Services of Ms, Inc | Emergency Medicine | Current |
Accepting new patients |
| Tishomingo Health Services, Inc. | Current |
Accepting new patients | |
| Correct Care, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Copiah County Medical Center | Family Medicine | Current |
Accepting new patients |
| Tishomingo Health Services, Inc. | Past | Accepting new patients |
Locations
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303
27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000
121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113
130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400
1102 Rose St
Prentiss, MS 39474
Phone (601) 792-2947
100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455
409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060
Interoperability endpoints
- evanunderwood@nmhs.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 23099 | MS | |
| Family Medicine Physician | 207Q00000X | P8742 | TX | Yes |
Addresses
Primary practice location
420 Smith County Road 40
Mount Olive, MS 39119
Mailing address
420 Smith County Road 40
Mount Olive, MS 39119
Phone (601) 517-6019
Other providers in Mount Olive, MS
- Charlie 6017655661 Morris
- Caroll D Pierce
- Powell Drugs LLC
- Powell Drugs LLC
- Southeast Mississippi Rural Health Initiative, Inc.
All providers in Mount Olive, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.