Active NPI
Ronald David Evans, M.D.
- Surgery Physician
- Osprey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME54280
- Practice address
- 929 S Tamiami TRL Ste 206
Osprey, FL 34229-9241 - Phone
- (941) 261-2111
- Fax
- (941) 261-5912
- NPI assigned
- Jun 21, 2005
- Last updated
- Oct 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 114789 | MT | |
| Surgery Physician | 208600000X | 20423 | MS | |
| Surgery Physician | 208600000X | ME54280 | FL | Primary |
| Vascular Surgery Physician | 2086S0129X | ME54280 | FL |
Addresses
Primary practice location
929 S Tamiami TRL Ste 206
Osprey, FL 34229-9241
Mailing address
PO Box 947407
Atlanta, GA 30394-7407
Phone (941) 917-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08678098 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of South Alabama College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
929 S Tamiami TRL
Suite 206
Osprey, FL 34229-9241
Phone (941) 917-5914
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 216 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME54280 | FL | MD | Surgery Physician |
| 114789 | MT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nautilus Health Care Group, LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| West Alabama Physician Associates, LLC | Current | Accepting new patients | |
| SMH Physician Services Inc | Current | Accepting new patients | |
| Clay County Medical Corporation | Current | Accepting new patients | |
| West Alabama Physician Associates LLC | Surgery | Current | Accepting new patients |
| Clay County Medical Corporation | Current | Accepting new patients | |
| FMC Medical Clinic - Fayette LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Fayette Medical Center | Current | Accepting new patients | |
| West Alabama Physician Associates, LLC | Current | Accepting new patients | |
| Nautilus Health Care Group LLC | Surgery | Current | Accepting new patients |
| Internal Medicine Associates of Tuscaloosa, PC | Past | Accepting new patients | |
| SMH Physician Services Inc | Past | Accepting new patients | |
| Advanced Wound Systems LLC | Past | Accepting new patients | |
| DCH Provider Services, LLC | Surgery | Past | Accepting new patients |
| Surgicare of Central Florida-Lakeland, LLC | Past | Accepting new patients |
Locations
1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063
1653 Temple Ave N
Ste 1
Fayette, AL 35555
Phone (205) 932-1421
1716 Temple Ave N
Ste 1
Fayette, AL 35555
Phone (205) 932-5966
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
1110 Dr Edward Hillard Dr
Ste A
Tuscaloosa, AL 35401
3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165
701 University Blvd E
Ste 604
Tuscaloosa, AL 35401
Phone (205) 759-6925
151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515
280 Patterson Rd
Haines City, FL 33844
280 Patterson Rd
Ste 4
Haines City, FL 33844
Phone (863) 422-8123
5220 Belfort Rd
Ste 150
Jacksonville, FL 32256
Phone (904) 446-3519
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
929 S Tamiami Trl
Ste 206
Osprey, FL 34229
Phone (941) 261-1100
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480
150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 18
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.
-
dba First Physicians Group
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Melbourne, FL
- NPI 1912013558
Surgery
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1669429080
-
- General Acute Care Hospital
- Fayette, AL
- NPI 1851323836
-
- Family Medicine Physician
- Fayette, AL
- NPI 1588141063
-
dba West Alabama Urology Associates
- Urology Physician
- Tuscaloosa, AL
- NPI 1316101769
-
dba Clay County Med Ctr - ER Phys
- Emergency Care Clinic/Center
- West Point, MS
- NPI 1578670972
-
- Family Medicine Physician
- Vestavia Hills, AL
- NPI 1265210645
-
dba Clay County Medical - CRNA
- Anesthesiology Physician
- West Point, MS
- NPI 1396852695
-
dba Medical Center Internal Medicine and Pediatrics
- Primary Care Clinic/Center
- West Point, MS
- NPI 1467525428
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kokomo, IN
- NPI 1013234699
-
dba Fayette General Surgery
- Surgery Physician
- Fayette, AL
- NPI 1417362807
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1255337770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 947407",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303947407",
"telephone_number": "941-917-2600",
"fax_number": "941-917-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 S TAMIAMI TRL STE 206",
"city": "OSPREY",
"state": "FL",
"postal_code": "342299241",
"telephone_number": "941-261-2111",
"fax_number": "941-261-5912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "RONALD",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MT",
"license": "114789",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "20423",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME54280",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME54280",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08678098",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Osprey, FL
- Edward Degon, D.C.
- Alphonse Delpizzo, MD
- Dr. Edward Degon LLC
- Nicole Amber Eggebrecht, ARNP
- Glenn M Eichenauer, DOM AP
- Family Dermatology, PL
- Family Eye Care & Vision Therapy
- Lindsey Aber Finnegan, M.D.
- Firstlantic Healthcare Inc of West Florida
- Florida Dental Professionals, P.a. (Sorrento East Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.