Individual provider Active NPI

Evan Lee Underwood, M.D.

  • Family Medicine Physician
  • Mount Olive, MS
National Provider Identifier
1205148459
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P8742 Issued in TX
Practice address
420 Smith County Road 40
Mount Olive, MS 39119
Phone
(601) 517-6019
NPI assigned
Jul 3, 2010
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23099 MS
Family Medicine Physician 207Q00000X P8742 TX Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20160121000224 MS Practitioner - Emergency MedicinePractitioner - Family Practice 1759507544 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
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.Group PAC ID 8628980992, 96 clinicians

Practice addresses (Care Compare)

27190 Hwy 28
Hazlehurst, MS 39083-2224
Phone (604) 574-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RH Emergency Medicine of Highland Community LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
RH Hospitalist Medicine of Walthall General LLC CurrentSince May 1, 2024 Accepting new patients
RH Hospitalist Medicine of Jefferson Davis LLC CurrentSince May 1, 2024 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Dec 15, 2015 Accepting new patients
South Sunflower County Hospital Current Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Aug 22, 2024 Accepting new patients
RH Emergency Medicine of Walthall General LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
RH Emergency Medicine of Jefferson Davis LLC Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
South Sunflower County Hospital Current Accepting new patients
South Sunflower County Hospital Current Accepting new patients
Tishomingo Health Services, Inc. CurrentSince Apr 15, 2025 Accepting new patients
Copiah County Medical Center CurrentSince Sep 1, 2024 Accepting new patients
Tishomingo Health Services, Inc. CurrentSince Apr 15, 2025 Accepting new patients
RH Hospitalist Medicine of Marion General LLC CurrentSince Jan 22, 2024 Accepting new patients
RH Hospitalist Medicine of Highland Community LLC CurrentSince Feb 1, 2024 Accepting new patients
South Sunflower County Hospital CurrentSince Jan 2, 2025 Accepting new patients
Copiah County Medical Center Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
South Sunflower County Hospital CurrentSince Jan 2, 2025 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

  • Direct secure messaging: evanunderwood@nmhs.medalliesdirect.net

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1205148459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SMITH COUNTY ROAD 40",
            "city": "MOUNT OLIVE",
            "state": "MS",
            "postal_code": "39119",
            "telephone_number": "601-517-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SMITH COUNTY ROAD 40",
            "city": "MOUNT OLIVE",
            "state": "MS",
            "postal_code": "39119",
            "telephone_number": "601-517-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "EVAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-03",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "23099",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P8742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Olive, MS

Sources for this page

Verify at the official NPI Registry.