Individual provider Active NPI

Alanna Marie Evans-Gasses, PA

  • Physician Assistant
  • Griffin, GA
National Provider Identifier
1205461670
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9674 Issued in GA
Practice address
747 S Hill St
Griffin, GA 30224-4830
Phone
(770) 450-8878
NPI assigned
Mar 6, 2020
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9674 GA Primary

Addresses

Primary practice location

747 S Hill St
Griffin, GA 30224-4830

Mailing address

PO Box 679
Locust Grove, GA 30248-0679
Phone (678) 206-4136

Other practice location 1

135 N Park Pl Ste 101
Stockbridge, GA 30281-7237
Phone (770) 892-0273

Other names 1

  • Alanna Marie Evans Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507003207 GA Practitioner - Physician Assistant 9638500697 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

11244 Tara Blvd
Suite 130
Hampton, GA 30228-1655
Phone (470) 781-3092

1436 Hwy 16 W
Griffin, GA 30223-2055
Phone (770) 889-1211

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2804
Phone (770) 222-8900

4837 Bill Gardner Pkwy
Suite B
Locust Grove, GA 30248-3644
Phone (678) 800-1602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9674GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Orthopaedics and Spine Institute, LLC CurrentSince Feb 1, 2020 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Jun 22, 2024 Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

747 S Hill St
Griffin, GA 30224
Phone (770) 228-5407

135 N Park Pl
Ste 101
Stockbridge, GA 30281
Phone (770) 892-0273

135 N Park Pl
Ste 210
Stockbridge, GA 30281
Phone (770) 892-0273

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1205461670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302480679",
            "telephone_number": "678-206-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 S HILL ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244830",
            "telephone_number": "770-450-8878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N Park Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302817237",
            "country_code": "US",
            "telephone_number": "770-892-0273",
            "fax_number": "470-878-1495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS-GASSES",
        "first_name": "ALANNA",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALANNA",
            "last_name": "EVANS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.