Individual provider Active NPI

Paul E Evans, M.D.

  • Obstetrics & Gynecology Physician
  • Macon, GA
National Provider Identifier
1275557589
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
030058 Issued in GA
Practice address
682 Hemlock St
Suite 300
Macon, GA 31201-8310
Phone
(478) 744-9683
Fax
(478) 744-9824
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 030058 GA Primary

Addresses

Primary practice location

682 Hemlock St
Suite 300
Macon, GA 31201-8310

Mailing address

682 Hemlock St
Suite 300
Macon, GA 31201-8310
Phone (478) 744-9683

Other identifiers 1

IdentifierTypeStateIssuer
959334312AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20100910000479 GA Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 7517082886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mercer University School of Medicine, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Women's Specialty Care PCGroup PAC ID 5092797704, 7 clinicians

Practice addresses (Care Compare)

682 Hemlock St
Suite 300
Macon, GA 31201-8310
Phone (478) 744-9683

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Specialty Care PC Obstetrics & Gynecology CurrentSince Oct 31, 2014 Accepting new patients

Locations

682 Hemlock St
Ste 300
Macon, GA 31201
Phone (478) 744-9683

102 Ed Bayer Ct
Ste 100
Warner Robins, GA 31088

Interoperability endpoints

  • Direct secure messaging: paul.evans@wsc.eclinicaldirectplus.com

Organizations & group practices 1

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

Hospital & facility affiliations 1

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1275557589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 HEMLOCK ST",
            "address_2": "SUITE 300",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018310",
            "telephone_number": "478-744-9683",
            "fax_number": "478-744-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 HEMLOCK ST",
            "address_2": "SUITE 300",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018310",
            "telephone_number": "478-744-9683",
            "fax_number": "478-744-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "PAUL",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "030058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "959334312A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.