Individual provider Active NPI

Lance Evans, PHD.

  • Clinical Psychologist
  • Opelika, AL
National Provider Identifier
1235179078
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2396 Issued in AL
Practice address
3007 Crestmont CT
Opelika, AL 36801-2230
Phone
(806) 789-1352
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY003597 GA
Clinical Psychologist 103TC0700X PY11257 FL
Clinical Psychologist 103TC0700X 2396 AL Primary

Addresses

Primary practice location

3007 Crestmont CT
Opelika, AL 36801-2230

Mailing address

3007 Crestmont CT
Opelika, AL 36801-2230
Phone (806) 789-1352

Other practice location 1

3601 4th St
Suite 1C143
Lubbock, TX 79430-0002
Phone (806) 743-2757

Other practice location 2

1120 15th Street
Department of Anesthesiology
Augusta, GA 30912
Phone (706) 721-3871

Other identifiers 2

IdentifierTypeStateIssuer
003124605BMedicaidGA
PSY003597OtherGAGA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, TN, AL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120731000316 GA Practitioner - Clinical Psychologist 2365454907 Reassigns benefits to 4 organizations
I20211110003046 FL Practitioner - Clinical Psychologist 2365454907 Reassigns benefits to 1 organization
I20240807003588 TN Practitioner - Clinical Psychologist 2365454907
I20250116001109 AL Practitioner - Clinical Psychologist 2365454907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Alabama Physicians, LLCGroup PAC ID 8820213309, 12 clinicians

Practice addresses (Care Compare)

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 528-3871

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY003597GAMDClinical Psychologist
32662TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
East Alabama Physicians, LLC CurrentSince Dec 1, 2024 Accepting new patients
Au Medical Associates Anesthesia Billing Services, LLC CurrentSince Nov 30, 2012 Accepting new patients
Au Medical Associates Inc CurrentSince Oct 1, 2019 Accepting new patients
Palmetto Psych Services LLC CurrentSince Jul 1, 2024 Accepting new patients
Au Medical Associates Inc CurrentSince Oct 1, 2019 Accepting new patients
Augusta University CurrentSince Jun 2, 2012 Accepting new patients
Southeast Psych Services LLC CurrentSince Oct 1, 2021 Accepting new patients
East Alabama Physicians, LLC CurrentSince Dec 1, 2024 Accepting new patients
Inpatient Psychology Solutions LLC CurrentSince Jan 1, 2021 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

2740 Village Professional Dr
Opelika, AL 36801
Phone (334) 528-3871

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

561 Fieldcrest Dr
The Villages, FL 32162
Phone (352) 309-7465

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

997 Saint Sebastian Way
Augusta, GA 30912
Phone (706) 721-3141

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

1265 Interstate Pkwy
#B
Augusta, GA 30909
Phone (706) 204-1366

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

9005 Overlook Blvd
Brentwood, TN 37027
Phone (615) 733-4651

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1235179078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 CRESTMONT CT",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368012230",
            "telephone_number": "806-789-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 CRESTMONT CT",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368012230",
            "telephone_number": "806-789-1352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 4th St",
            "address_2": "Suite 1C143",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794300002",
            "country_code": "US",
            "telephone_number": "806-743-2757",
            "fax_number": "806-743-3955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 15th Street",
            "address_2": "Department of Anesthesiology",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "30912",
            "country_code": "US",
            "telephone_number": "706-721-3871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "LANCE",
        "credential": "PHD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003597",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11257",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "2396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003124605B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE",
            "identifier": "PSY003597",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.