NPIMap

Organization Active NPI

Evans Medical Clinic PLLC

  • Clinic/Center
  • Huntingdon, TN
National Provider Identifier
1427063155
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD31824 Issued in TN
Legal business name
EVANS MEDICAL CLINIC PLLC
Practice address
3493 Veterans Dr N
Suite C
Huntingdon, TN 38344-6227
Phone
(731) 986-2933
Fax
(731) 986-2938
NPI assigned
Jul 30, 2006
Last updated
Nov 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Dr. Thomas Paul Evans, MDNPI 1841285228
Title
Owner
Phone
(731) 986-2933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD31824 TN Primary

Addresses

Primary practice location

3493 Veterans Dr N
Suite C
Huntingdon, TN 38344-6227

Mailing address

PO Box 465
Huntingdon, TN 38344-0465
Phone (731) 986-2933

Other identifiers 2

IdentifierTypeStateIssuer
1523966MedicaidTN
3721805MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1427063155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383440465",
            "telephone_number": "731-986-2933",
            "fax_number": "731-986-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3493 VETERANS DR N",
            "address_2": "SUITE C",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383446227",
            "telephone_number": "731-986-2933",
            "fax_number": "731-986-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-986-2933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "MD31824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523966",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3721805",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.