Evan McKenzie, PA-C
Individual provider Active NPI Physician Assistant · East Ridge, TN
NPI 1336075753 · NPPES record last updated Jun 23, 2026
Key facts
- NPI
- 1336075753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 7103 (TN)
- Practice address
- 403 McBrien Rd
East Ridge, TN 37412-3223 - Phone
- (423) 894-3589
- NPI assigned
- Jun 23, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7103 | TN | Yes |
Addresses
Primary practice location
403 McBrien Rd
East Ridge, TN 37412-3223
Mailing address
654 Mariner Way
Chattanooga, TN 37402-2924
Phone (423) 991-0316
Other providers in East Ridge, TN
- Loving Hands Caregiver
- Laura Andrei Martin
- Elizabeth Masengil
- Teresa Annette McBrayer
- Daniel McGovern
- Kiley Miliano
- Catherine Murph Mitchell
- Jack Money
- Kenneth Shane Morgan
- Jerry Thomas Mote
All providers in East Ridge, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.