Evans Urgent Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

046334 Issued in GA

Legal business name

EVANS URGENT CARE

Practice address

800 Oakhurst Dr
Evans, GA 30809-3650

Phone

(706) 364-5500

Fax

(706) 364-6863

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brett WallentineNPI 1922149848

Title

Owner

Phone

(706) 364-5500

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brett Wallentine, MD

  • Family Medicine Physician
  • Evans, GA
  • NPI 1922149848
  NPD Authorized official
• Purvi K Shah, PA

  • Physician Assistant
  • Evans, GA
  • NPI 1861534000
  NPD (past)
• Emmanuel V Rivera, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Cincinnati, OH
  • NPI 1912946146
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306987235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2628",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308092628",
            "telephone_number": "706-364-5500",
            "fax_number": "706-364-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAKHURST DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093650",
            "telephone_number": "706-364-5500",
            "fax_number": "706-364-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLENTINE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-364-5500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "046334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evans Medical Group
• Evans Mental Health Associates
• Evans Procedure Center, LLC
• Evans Rehabilitation Services, LLC (Lake Oconee Rehabilitation and Performance Center)
• Evans Signature Dentistry LLC
• Kelli Lane Evans, FNP-BC
• Extraordinary Homecare LLC
• Eyecare One Martinez LLC (Broome Family Eyecare)
• F&M Wellness LLC
• Family Physicians of Evans

• Family Medicine Physician in Evans, GA
• Providers in Evans, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.