Active NPI
Jess G. Evans, PH.D
- Clinical Laboratory Director (Non-physician)
- Memphis, TN
National Provider Identifier
1336549971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Laboratory Director (Non-physician)
- License
- ML0000023356
- Practice address
- 1701 Century Center CV
Memphis, TN 38134-8975 - Phone
- (901) 432-8605
- Fax
- (901) 844-8668
- NPI assigned
- Sep 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | ML0000023356 | TN | Primary |
Addresses
Primary practice location
1701 Century Center CV
Memphis, TN 38134-8975
Mailing address
1701 Century Center CV
Memphis, TN 38134-8975
Phone (901) 432-8605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML0000023356 | TN | MD | Clinical Laboratory Director (Non-physician) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1336549971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 CENTURY CENTER CV",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381348975",
"telephone_number": "901-432-8605",
"fax_number": "901-844-8668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CENTURY CENTER CV",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381348975",
"telephone_number": "901-432-8605",
"fax_number": "901-844-8668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JESS",
"middle_name": "G.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-02",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": "TN",
"license": "ML0000023356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.