Individual provider Active NPI

Laura Lovinggood Evans, MSN, NP-C

  • Nurse Practitioner
  • Canton, GA
National Provider Identifier
1386065241
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN189245 Issued in GA
Practice address
1521 Hickory Flat Hwy Ste 100
Canton, GA 30115-3448
Phone
(770) 496-9430
Fax
(404) 891-4947
NPI assigned
Dec 19, 2013
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN189245 GA Primary
Family Nurse Practitioner 363LF0000X 95000031 CA

Addresses

Primary practice location

1521 Hickory Flat Hwy Ste 100
Canton, GA 30115-3448

Mailing address

1835 Savoy Dr Ste 300
Atlanta, GA 30341-1071
Phone (770) 496-9430

Other practice location 1

632 W Gibson Rd
Woodland, CA 95695-5169
Phone (530) 662-3961

Other practice location 2

4550 Cobb Parkway North NW
Acworth, GA 30101-4180
Phone (770) 422-1372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200130003341 GA Practitioner - Nurse Practitioner 9032337233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Respro SleepGroup PAC ID 1759815236, 6 clinicians

Practice addresses (Care Compare)

Atlanta, GA 30360
Phone (404) 678-5042

1521 Hickory Flat Hwy
Suite 100
Canton, GA 30115-3448
Phone (770) 479-1870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.19 of 100Reported as group
Quality
69.24
Improvement activities
40
Cost
51.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN189245GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services G, LLC CurrentSince Sep 1, 2023 Accepting new patients
NSH Cancer Institute Professional Services G LLC CurrentSince Sep 1, 2023 Accepting new patients
NSH Cancer Institute Professional Services G, LLC Past Accepting new patients
Northside Imaging LLC Past Accepting new patients

Locations

1835 Savoy Dr
Ste 300
Atlanta, GA 30341
Phone (678) 288-9555

1521 Hickory Flat Hwy
Ste 100
Canton, GA 30115
Phone (770) 479-1870

228 Riverstone Dr
Canton, GA 30114
Phone (404) 851-6284

790 Church St NE
Ste 335
Marietta, GA 30060
Phone (770) 590-8311

1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549

Interoperability endpoints

  • Direct secure messaging: laura.evans.p1@direct.gacancer.nextgenshare.com

Organizations & group practices 5

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 1

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": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1386065241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411071",
            "telephone_number": "770-496-9430",
            "fax_number": "404-891-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 HICKORY FLAT HWY STE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301153448",
            "telephone_number": "770-496-9430",
            "fax_number": "404-891-4947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "632 W Gibson Rd",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "CA",
            "postal_code": "956955169",
            "country_code": "US",
            "telephone_number": "530-662-3961",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4550 Cobb Parkway North NW",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301014180",
            "country_code": "US",
            "telephone_number": "770-422-1372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "LAURA",
        "middle_name": "LOVINGGOOD",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN189245",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.