Evon Gergis

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851116853 Issued in MI

Practice address

363 W Big Beaver Rd Ste 315
Troy, MI 48084-5242

Phone

(248) 354-8460

Fax

(248) 354-4979

NPI assigned

Oct 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Oakland Univ, William Beaumont School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arab American and Chaldean CouncilGroup PAC ID 2365401874, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arab American and Chaldean Council

  • Public Health & General Preventive Medicine Physician
  • Dearborn, MI
  • NPI 1861673543
  Medicare reassignment Care Compare group
• Arab American and Chaldean Council

  • Psychiatry Physician
  • Troy, MI
  • NPI 1689006975
  NPD
• Arab American and Chaldean Council

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1982706883
  NPD

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1417424110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5168 BLAIR DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W BIG BEAVER RD STE 315",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845242",
            "telephone_number": "248-354-8460",
            "fax_number": "248-354-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERGIS",
        "first_name": "EVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3434247",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justes Mathew George
• Kelly Patricia Shelton George, PT, DPT
• Lisa Renee George, LMSW
• Lindsey Marie Gerard
• Carrie Gerdeman, CTRS
• Geriatric Psychiatric Services
• Geriatric Psychiatric Services PLLC
• Melissa Anne Gerling, CPNP
• Cynthia Gerstenlauer, NP
• Get Well Home Care Services, Inc.

• Clinical Social Worker in Troy, MI
• Providers in Troy, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.