Individual provider Active NPI

Evelyn Maria Cason, NP-C

  • Acute Care Nurse Practitioner
  • Petersburg, VA
National Provider Identifier
1235458233
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024174692 Issued in VA
Practice address
849 S Sycamore St Ste a
Petersburg, VA 23803-5801
Phone
(804) 715-1031
Fax
(804) 203-4722
NPI assigned
May 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024174692 VA Primary

Addresses

Primary practice location

849 S Sycamore St Ste a
Petersburg, VA 23803-5801

Mailing address

849 S Sycamore St Ste a
Petersburg, VA 23803-5801
Phone (804) 715-1031

Other practice location 1

80 Jesse Hill Jr Dr SE
Burn Unit 3rd Floor, West Tower- B Wing
Atlanta, GA 30303-3031
Phone (404) 616-2876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101117001541 GA Practitioner - Nurse Practitioner 3274729181 Reassigns benefits to 2 organizations
I20221206002984 VA Practitioner - Nurse Practitioner 3274729181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

849 S Sycamore St
Suite a
Petersburg, VA 23803-5801
Phone (804) 715-1031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emc Health, LLC CurrentSince Oct 14, 2022 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Sep 1, 2010 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Sep 1, 2010 Accepting new patients
Healing Hands of Virginia PLLC CurrentSince Aug 1, 2024 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Aug 22, 2016 Accepting new patients
Pris,PLC PastSince Oct 1, 2022 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Jesse Hill Jr Dr SE
Unit 3RD
Atlanta, GA 30303
Phone (404) 616-2876

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

2600 Memorial Ave
Ste 201B
Lynchburg, VA 24501
Phone (434) 528-0896

849 S Sycamore St
Ste A
Petersburg, VA 23803
Phone (804) 715-1031

921 Hull St
Richmond, VA 23224
Phone (804) 230-4913

7025 Old Jahnke Rd
Richmond, VA 23225
Phone (804) 272-9191

Organizations & group practices 6

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": "1275264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1235458233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 S SYCAMORE ST STE A",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035801",
            "telephone_number": "804-715-1031",
            "fax_number": "804-203-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 S SYCAMORE ST STE A",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035801",
            "telephone_number": "804-715-1031",
            "fax_number": "804-203-4722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Jesse Hill Jr Dr SE",
            "address_2": "Burn Unit 3rd Floor, West Tower- B Wing",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303033031",
            "country_code": "US",
            "telephone_number": "404-616-2876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASON",
        "first_name": "EVELYN",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024174692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.