Active NPI
Evans Medical Clinic PLLC
- Clinic/Center
- Paris, TN
National Provider Identifier
1295904902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- MD0000031994
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Huntingdon, TN
- NPI 1841285228
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.