Active NPI
James Roger Evans, PH.D
- Psychologist
- Greenville, SC
National Provider Identifier
1245471713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 91
- Practice address
- 1200 Woodruff Rd
Building a-3
Greenville, SC 29607-5730 - Phone
- (864) 678-4725
- NPI assigned
- Mar 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 91 | SC | |
| Psychologist | 103T00000X | 91 | SC | Primary |
Addresses
Primary practice location
1200 Woodruff Rd
Building a-3
Greenville, SC 29607-5730
Mailing address
183 Morning Lake Dr.
Moore, SC 29369
Phone (864) 595-9038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91 | SC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236902400000",
"number": "1245471713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 MORNING LAKE DR.",
"city": "MOORE",
"state": "SC",
"postal_code": "29369",
"telephone_number": "864-595-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WOODRUFF RD",
"address_2": "BUILDING A-3",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075730",
"telephone_number": "864-678-4725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JAMES",
"middle_name": "ROGER",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-13",
"last_updated": "2009-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "SC",
"license": "91",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SC",
"license": "91",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.