Individual provider Active NPI

Ronald David Evans, M.D.

  • Surgery Physician
  • Osprey, FL
National Provider Identifier
1255337770
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME54280 Issued in FL
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
08678098MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090107000346 MS Practitioner - General SurgeryPractitioner - Thoracic Surgery 9830183490 Reassigns benefits to 1 organization
I20111214000061 AL Practitioner - General Surgery 9830183490 Reassigns benefits to 4 organizations
I20230411001770 FL Practitioner - General Surgery 9830183490 Reassigns benefits to 2 organizations

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
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians

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

ProcedureNumber of procedures
Removal of tissue216
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME54280FLMDSurgery Physician
114789MTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nautilus Health Care Group, LLC CurrentSince Feb 1, 2023 Accepting new patients
American Family Care, LLC CurrentSince Apr 27, 2015 Accepting new patients
West Alabama Physician Associates, LLC Current Accepting new patients
SMH Physician Services Inc CurrentSince Oct 30, 2023 Accepting new patients
Clay County Medical Corporation Current Accepting new patients
West Alabama Physician Associates LLC Surgery CurrentSince Jul 1, 2019 Accepting new patients
Clay County Medical Corporation CurrentSince May 1, 2013 Accepting new patients
FMC Medical Clinic - Fayette LLC CurrentSince Mar 1, 2020 Accepting new patients
American Family Care, LLC CurrentSince Apr 27, 2015 Accepting new patients
Fayette Medical Center CurrentSince Mar 29, 2022 Accepting new patients
West Alabama Physician Associates, LLC CurrentSince Jul 1, 2019 Accepting new patients
Nautilus Health Care Group LLC Surgery CurrentSince Feb 1, 2023 Accepting new patients
Internal Medicine Associates of Tuscaloosa, PC PastSince Mar 1, 2020 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 PastSince Mar 12, 2008 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.

View all 18

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": "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

Sources for this page

Verify at the official NPI Registry.