Individual provider Active NPI

Jason Lamar Evans, FNP

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1407395262
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP328375 Issued in GA
Practice address
740 W Peachtree St NW
Atlanta, GA 30308-1199
Phone
(770) 325-0636
NPI assigned
Feb 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0029504 OH
Family Nurse Practitioner 363LF0000X APRN-NP328375 GA Primary
Family Nurse Practitioner 363LF0000X 22307 TN

Addresses

Primary practice location

740 W Peachtree St NW
Atlanta, GA 30308-1199

Mailing address

4009 Villa Lake Rd
Powder Springs, GA 30127-5052
Phone (770) 325-0636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170630000615 TN Practitioner - Nurse Practitioner 2567731813 Reassigns benefits to 1 organization
I20211202000871 OH Practitioner - Nurse Practitioner 2567731813 Reassigns benefits to 1 organization
I20240701003499 GA Practitioner - Nurse Practitioner 2567731813 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22307TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Tennessee, PC Current Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince Mar 5, 2017 Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince Mar 5, 2017 Accepting new patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

355 Pleasant Grove Rd
Ste 1400
Mt Juliet, TN 37122
Phone (615) 773-7933

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

Interoperability endpoints

  • Direct secure messaging: jevans20144@carelonhealth.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1407395262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 VILLA LAKE RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275052",
            "telephone_number": "770-325-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W PEACHTREE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081199",
            "telephone_number": "770-325-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JASON",
        "middle_name": "LAMAR",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-13",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029504",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP328375",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.