Patrick E Evivie, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9600908 Issued in NC

Practice address

3627 Beatties Ford Rd
Charlotte, NC 28216-3249

Phone

(704) 335-0806

Fax

(704) 334-2073

NPI assigned

Jan 9, 2006

Last updated

Mar 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Well Care Home Health of Piedmont, Inc. Home health agency, Huntersville, NC, CCN 347258
• Bayada Home Health Care, Inc Home health agency, Charlotte, NC, CCN 347087

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Bomray Medical Clinic

  dba PrimeCare Medical Center

  • Primary Care Clinic/Center
  • Charlotte, NC
  • NPI 1013974864
  Medicare reassignment NPD
• Sports and Spine Physical Therapy NC Inc

  dba Sportspine

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1982651618
  NPD (past)

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Charlotte, NC
  • NPI 1023377439
  Care Compare affiliation
• Well Care Home Health of the Piedmont, Inc

  • Home Health Agency
  • Charlotte, NC
  • NPI 1174009757
  Care Compare affiliation

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1285612374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 BEATTIES FORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163249",
            "telephone_number": "704-335-0806",
            "fax_number": "704-334-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 BEATTIES FORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163249",
            "telephone_number": "704-335-0806",
            "fax_number": "704-334-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVIVIE",
        "first_name": "PATRICK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9600908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890271W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everside Health Coca-Cola RCT Charlotte
• Brooke Everson
• Everydays Blessings
• Eves Outreach LLC
• Emma Ruff Evitts, PA
• Evolution You, PLLC
• Evolve Collaborative PLLC
• Evolve Health & Wellness, PLLC
• Evolve Support Services, LLC
• Evolving to Independence

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.