Charles Alexander Evans, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J3094 Issued in TX

Practice address

203 Christie St.
Lufkin, TX 75904

Phone

(936) 699-5433

Fax

(936) 699-5465

NPI assigned

May 31, 2005

Last updated

Sep 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Charles a Evans MD PAGroup PAC ID 8820009533, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211
• Woodland Heights Medical Center Hospital, Lufkin, TX, CCN 450484

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Charles a Evans MD PA

  • Family Medicine Physician
  • Lufkin, TX
  • NPI 1427275858
  Medicare reassignment Care Compare group NPD
• Integrative Health & Wellness LLC

  • Family Medicine Physician
  • Ashland, OR
  • NPI 1982462776
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Health System of East Texas

  dba CHI St. Lukes Health Memorial Lufkin

  • Rural Acute Care Hospital
  • Lufkin, TX
  • NPI 1396746129
  Care Compare affiliation
• Piney Woods Healthcare System, L.P.

  dba Woodland Heights Medical Center

  • General Acute Care Hospital
  • Lufkin, TX
  • NPI 1487607792
  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1255334538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CHRISTIE ST.",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-699-5433",
            "fax_number": "936-699-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CHRISTIE ST.",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "75904",
            "telephone_number": "936-699-5433",
            "fax_number": "936-699-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CHARLES",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J3094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123490806",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179637701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0066MT",
            "identifier": "BCBS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "J3094",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• ER of Lufkin LLC
• ER of Lufkin Physicians PLLC
• Ashley Espinoza
• Jana McGaughey Estrada, LMSW
• Alicia K Evans, LVN
• Tina Marie Evans
• Hunter Everett, PHARMD
• Christina Michelle Evett, NP-C
• Ewell Equipment Co
• Excel Complete Home Health & Therapy Services LLC

• Family Medicine Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.