NPIMap

Individual provider Active NPI

Lilian Qushair Evans, MD

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1417165879
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2005-00037 Issued in NC
Practice address
4500 Cameron Valley Pkwy Ste 100
Charlotte, NC 28211-3542
Phone
(704) 384-7910
Fax
(704) 384-7914
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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 2005-00037 NC Primary

Addresses

Primary practice location

4500 Cameron Valley Pkwy Ste 100
Charlotte, NC 28211-3542

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-7840

Other practice location 1

3614 Providence Rd S
Suite 200
Waxhaw, NC 28173-6309
Phone (704) 384-8640

Other identifiers 1

IdentifierTypeStateIssuer
5914287OtherNCMEDICAID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address levans14727@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100901000845 NC Practitioner - Family Practice 1850415522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Duke University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

3614 Providence S Rd
Suite 200
Waxhaw, NC 28173-6310
Phone (704) 384-8640

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005-00037NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 14, 2010 Accepting new patients
Novant Health Medical Group, LLC Family Medicine CurrentSince Mar 14, 2010 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

4500 Cameron Valley Pkwy
Ste 100
Charlotte, NC 28211
Phone (704) 384-7910

1450 Matthews Township Pkwy
Ste 450
Matthews, NC 28105
Phone (704) 344-2220

1450 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 246-1846

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

3614 S Providence Rd
Ste 200
Waxhaw, NC 28173
Phone (704) 367-4800

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

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 and National Provider Directory roles.

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1417165879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-7840",
            "fax_number": "704-384-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 CAMERON VALLEY PKWY STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113542",
            "telephone_number": "704-384-7910",
            "fax_number": "704-384-7914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3614 Providence Rd S",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281736309",
            "country_code": "US",
            "telephone_number": "704-384-8640",
            "fax_number": "704-384-8650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "LILIAN",
        "middle_name": "QUSHAIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2005-00037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "5914287",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "levans14727@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3614 Providence Rd S",
            "address_2": "Suite 200",
            "city": "Waxhaw",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281736309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.