Organization Active NPI

Donald C. Evans, M.D., P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • Cartersville, GA
National Provider Identifier
1255312815
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
009810 Issued in GA
Legal business name
DONALD C. EVANS, M.D., P.C.
Practice address
572 W Main St
Cartersville, GA 30120-3469
Phone
(770) 547-4157
Fax
(770) 386-4185
NPI assigned
Nov 10, 2005
Last updated
Jun 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Dr. Donald C. Evans, M.D.
Title
M.D./Owner
Phone
(770) 547-4157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 009810 GA Primary

Addresses

Primary practice location

572 W Main St
Cartersville, GA 30120-3469

Mailing address

572 W Main St
P.O. Box 2407
Cartersville, GA 30120-3469
Phone (770) 547-4157

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1255312815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 W MAIN ST",
            "address_2": "P.O. BOX 2407",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203469",
            "telephone_number": "770-547-4157",
            "fax_number": "770-386-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 W MAIN ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203469",
            "telephone_number": "770-547-4157",
            "fax_number": "770-386-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD C. EVANS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "770-547-4157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "009810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.