NPIMap

Individual provider Active NPI

Bennett Lamonde Evans, DPM

  • Foot Surgery Podiatrist
  • Fayetteville, NC
National Provider Identifier
1346717212
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
817 Issued in NC
Practice address
1645 Owen Dr
Fayetteville, NC 28304-3425
Phone
(910) 615-3668
NPI assigned
Oct 30, 2018
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 817 NC
Foot & Ankle Surgery Podiatrist 213ES0103X 817 NC
Foot & Ankle Surgery Podiatrist 213ES0103X POD001507 GA
Foot Surgery Podiatrist 213ES0131X 817 NC Primary

Addresses

Primary practice location

1645 Owen Dr
Fayetteville, NC 28304-3425

Mailing address

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone (912) 435-6965

Other practice location 1

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone (912) 435-6633

Other practice location 2

1738 Metromedical Dr
Fayetteville, NC 28304-3861
Phone (910) 484-4191

Other practice location 3

300 Medical Pavilion Dr Ste 320
Raeford, NC 28376-0019
Phone (910) 266-9900

Other practice location 4

300 E McKay St Ste E
Elizabethtown, NC 28337-9037
Phone (910) 862-1263

Other practice location 5

1535 N Raleigh St
Angier, NC 27501-8920
Phone (910) 892-1107

Other practice location 6

588 Bailey Rd Ste E
Lumberton, NC 28358-2470
Phone (910) 738-4811

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bennett.l.evans2.mil@mail.mil Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220627003372 GA Practitioner - Podiatry 2668851361 Reassigns benefits to 1 organization
I20240807004158 NC Practitioner - Podiatry 2668851361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1645 Owen Dr
Fayetteville, NC 28304-3425
Phone (910) 615-3668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue133
Removal of skin lesions1-10
Removal of nail tissue207
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Cumberland County Hospital System Inc Foot & Ankle Surgery CurrentSince Aug 1, 2024 Accepting new patients
Ankle & Foot Associates, LLC Podiatrist CurrentSince Jul 1, 2022 Accepting new patients
Cape Fear Valley Health Medical Group LLC Podiatrist CurrentSince Mar 15, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Mar 15, 2025 Accepting new patients
Ankle and Foot Associates, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2022 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Aug 1, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC Past Accepting new patients

Locations

501 W Oneida St
Waycross, GA 31501
Phone (912) 283-6471

1535 N Raleigh St
Angier, NC 27501
Phone (910) 892-1107

300 E McKay St
#E
Elizabethtown, NC 28337
Phone (910) 737-6600

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1645 Owen Dr
Fayetteville, NC 28304
Phone (910) 486-4486

1738 Metromedical Dr
Fayetteville, NC 28304
Phone (910) 484-4191

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

588 Bailey Rd
Ste E
Lumberton, NC 28358
Phone (910) 221-2500

300 Medical Pavilion Dr
Ste 320
Raeford, NC 28376
Phone (910) 266-9900

Interoperability endpoints

  • Direct secure messaging: bevans73948@capefearvalley.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1346717212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043425",
            "telephone_number": "910-615-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Harmon Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Stewart",
            "state": "GA",
            "postal_code": "313145641",
            "country_code": "US",
            "telephone_number": "912-435-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1738 Metromedical Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043861",
            "country_code": "US",
            "telephone_number": "910-484-4191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Medical Pavilion Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283760019",
            "country_code": "US",
            "telephone_number": "910-266-9900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E McKay St Ste E",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379037",
            "country_code": "US",
            "telephone_number": "910-862-1263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1535 N Raleigh St",
            "address_purpose": "LOCATION",
            "city": "Angier",
            "state": "NC",
            "postal_code": "275018920",
            "country_code": "US",
            "telephone_number": "910-892-1107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "588 Bailey Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582470",
            "country_code": "US",
            "telephone_number": "910-738-4811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BENNETT",
        "middle_name": "LAMONDE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-30",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "817",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "817",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001507",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bennett.l.evans2.mil@mail.mil",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1061 Harmon Ave",
            "city": "Fort Stewart",
            "state": "GA",
            "country_code": "US",
            "postal_code": "313145641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.