NPIMap

Individual provider Active NPI

Evan G Jones

  • Family Medicine Physician
  • Black Mountain, NC
National Provider Identifier
1376921494
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021-00108 Issued in NC
Practice address
15 Jane Jacobs Rd Ste 101
Black Mountain, NC 28711-8308
Phone
(828) 298-0333
Fax
(828) 298-0050
NPI assigned
May 8, 2015
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 100979 AK
Family Medicine Physician 207Q00000X 2021-00108 NC Primary

Addresses

Primary practice location

15 Jane Jacobs Rd Ste 101
Black Mountain, NC 28711-8308

Mailing address

PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5698

Other practice location 1

1201 E 36th Ave
Anchorage, AK 99508-4372
Phone (907) 562-9229

Other practice location 2

333 Gashes Creek Rd
Asheville, NC 28803-9405
Phone (828) 298-0333

Other practice location 3

100 Hospital Dr
Hendersonville, NC 28792-5272
Phone (828) 650-8167

Other identifiers 2

IdentifierTypeStateIssuer
207Q00000XOtherNCTAXONOMY
2021-00108OtherNCSTATE LICENSES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, 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
I20190116000226 TN Practitioner - Internal Medicine 7012229545 Reassigns benefits to 1 organization
I20210329001282 NC Practitioner - Family Practice 7012229545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

Practice addresses (Care Compare)

15 Jane Jacobs Rd
Suite 101
Black Mountain, NC 28711-8308
Phone (828) 298-0333

20 W Medical CT
Marion, NC 28752-4968
Phone (828) 659-8049

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2021-00108NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Nov 20, 2018 Accepting new patients
Fletcher Hospital Inc Family Medicine CurrentSince Apr 11, 2021 Accepting new patients
Fletcher Hospital Inc. Current Accepting new patients
Fletcher Hospital Inc. Family Medicine CurrentSince Apr 11, 2021 Accepting new patients

Locations

333 Gashes Creek Rd
Asheville, NC 28803
Phone (828) 298-0333

15 Jane Jacobs Rd
Ste 101
Black Mountain, NC 28711
Phone (828) 298-0333

100 Hospital Dr
Hendersonvlle, NC 28792
Phone (828) 650-8167

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: ejones659200@adventhealth.direct-ci.com

Organizations & group practices 4

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376921494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-687-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 JANE JACOBS RD STE 101",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287118308",
            "telephone_number": "828-298-0333",
            "fax_number": "828-298-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 E 36th Ave",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084372",
            "country_code": "US",
            "telephone_number": "907-562-9229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Gashes Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288039405",
            "country_code": "US",
            "telephone_number": "828-298-0333",
            "fax_number": "828-298-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287925272",
            "country_code": "US",
            "telephone_number": "828-650-8167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "EVAN",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2023-03-07",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "100979",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2021-00108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207Q00000X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSES",
            "identifier": "2021-00108",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

Verify at the official NPI Registry.