Individual provider Active NPI

Michelle Yvette Evans, M.D.

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1245249333
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
052171 Issued in GA
Practice address
105 Collier Rd NW Ste 1000
Atlanta, GA 30309-1730
Phone
(404) 596-1218
Fax
(855) 594-2307
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 052171 GA Primary

Addresses

Primary practice location

105 Collier Rd NW Ste 1000
Atlanta, GA 30309-1730

Mailing address

105 Collier Rd NW Ste 1000
Atlanta, GA 30309-1730
Phone (404) 598-1218

Other identifiers 2

IdentifierTypeStateIssuer
526285959EMedicaidGA
93BBFZNOtherMEDICARE PTAN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031103000143 GA Practitioner - Family Practice 9931011665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3193 Howell Mill Rd NW
Suite 204
Atlanta, GA 30327-2100
Phone (404) 596-1218

Hospital & facility affiliations

  • Capstone Hospice LLC Hospice, Peachtree Corners, GA, CCN 111774
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Family Medicine Family Medicine CurrentSince Jul 25, 2018 Accepting new patients

Locations

105 Collier Rd NW
Ste 1000
Atlanta, GA 30309
Phone (404) 352-8522

35 Collier Rd NW
Ste 185
Atlanta, GA 30309
Phone (404) 351-9471

3193 Howell Mill Rd NW
Ste 204
Atlanta, GA 30327
Phone (404) 352-1223

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1245249333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COLLIER RD NW STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091730",
            "telephone_number": "404-598-1218",
            "fax_number": "855-594-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COLLIER RD NW STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091730",
            "telephone_number": "404-596-1218",
            "fax_number": "855-594-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MICHELLE",
        "middle_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "052171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526285959E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "93BBFZN",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.