NPIMap

Individual provider Active NPI

Evelyn Coley, PA-C

  • Physician Assistant
  • Plantation, FL
National Provider Identifier
1255735510
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108221 Issued in FL
Practice address
8251 W Broward Blvd Ste 300
Plantation, FL 33324-2703
Phone
(954) 475-9244
NPI assigned
Oct 15, 2014
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108221 FL Primary

Addresses

Primary practice location

8251 W Broward Blvd Ste 300
Plantation, FL 33324-2703

Mailing address

1312 NW 2ND Ave
Fort Lauderdale, FL 33311-6040
Phone (615) 990-9778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150914002343 FL Practitioner - Physician Assistant 5496062150 Reassigns benefits to 1 organization
I20250819005093 NC Practitioner - Physician Assistant 5496062150 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

2303 Wellington Dr SW
Wilson, NC 27893-8620
Phone (252) 243-6818

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

30 Duke Medicine Cir
Durham, NC 27710-3000
Phone (919) 684-8111

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9108221FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
Duke University Health System, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Sunrise Medical Group I LLC CurrentSince Jul 24, 2017 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

4925 Sheridan St
Ste 100
Hollywood, FL 33021
Phone (954) 962-3277

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

3540 N Pine Island Rd
Sunrise, FL 33351
Phone (954) 321-1776

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ecoley656292@direct.medicine.duke.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1255735510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 NW 2ND AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333116040",
            "telephone_number": "615-990-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 W BROWARD BLVD STE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242703",
            "telephone_number": "954-475-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEY",
        "first_name": "EVELYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.