NPIMap

Individual provider Active NPI

Valerie Nicole Evans, M.D.

  • Family Medicine Physician
  • Meridian, MS
National Provider Identifier
1396980116
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21818 Issued in MS
Practice address
1600 22ND Ave
Meridian, MS 39301-3223
Phone
(601) 483-5322
Fax
(601) 581-2289
NPI assigned
Dec 8, 2008
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21818 MS Primary

Addresses

Primary practice location

1600 22ND Ave
Meridian, MS 39301-3223

Mailing address

PO Box 749215
Atlanta, GA 30374-9215
Phone (901) 226-3186

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000710 MS Practitioner - Family Practice 7315104056 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Physician Alliance IncGroup PAC ID 3274727318, 69 clinicians

Practice addresses (Care Compare)

1600 22ND Ave
Suite a
Meridian, MS 39301-3223
Phone (601) 693-1055

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21818MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest County General Hospital CurrentSince Apr 12, 2017 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Forrest County General Hospital Family Medicine CurrentSince Apr 12, 2017 Accepting new patients
Anderson Physician Alliance, Inc. Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Urology Clinic of Meridian, P.a. Current Accepting new patients
Joel T Callahan Thomas H Greer Jr & a Gary Boone PTR CurrentSince Jan 8, 2018 Accepting new patients

Locations

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

1600 22nd Ave
#3
Meridian, MS 39301
Phone (601) 693-1055

Interoperability endpoints

  • Direct secure messaging: vevans@imc.directbygreenway.com
  • Direct secure messaging: vevans@imc.gwaydirect.com
  • Direct secure messaging: vevans625853@direct.bmhcc.org

Organizations & group practices 6

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 6

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": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1396980116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749215",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749215",
            "telephone_number": "901-226-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 22ND AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013223",
            "telephone_number": "601-483-5322",
            "fax_number": "601-581-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "VALERIE",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "21818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.