Organization Active NPI

Evans Medical Clinic PLLC

  • Clinic/Center
  • Paris, TN
National Provider Identifier
1295904902
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD0000031994 Issued in TN
Legal business name
EVANS MEDICAL CLINIC PLLC
Practice address
300 Hospital Cir
Suite 102
Paris, TN 38242-4504
Phone
(731) 644-7662
Fax
(731) 644-7665
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Mrs. Shelly Baker
Title
Credentialling/Billing
Phone
(731) 986-2933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD0000031994 TN Primary

Addresses

Primary practice location

300 Hospital Cir
Suite 102
Paris, TN 38242-4504

Mailing address

3493 Veterans Dr N
Suite C
Huntingdon, TN 38344-6227
Phone (731) 986-2933

Other names 1

  • Pamela R. Evans, MD, PC Former legal business name

National Provider Directory

National Provider Directory

Locations

300 Hospital Cir
Ste 102
Paris, TN 38242
Phone (731) 644-7662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1295904902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3493 VETERANS DR N",
            "address_2": "SUITE C",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383446227",
            "telephone_number": "731-986-2933",
            "fax_number": "731-986-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL CIR",
            "address_2": "SUITE 102",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424504",
            "telephone_number": "731-644-7662",
            "fax_number": "731-644-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CREDENTIALLING/BILLING",
        "authorized_official_telephone_number": "731-986-2933",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "MD0000031994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamela R. Evans, MD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Paris, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.