Active NPI
William Southall Evans Jr., M.D.
- Child & Adolescent Psychiatry Physician
- Augusta, GA
National Provider Identifier
1437159456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 032727
- Practice address
- 3481 Mike Padgett Hwy
Augusat Youth Development Campus
Augusta, GA 30906-3815 - Phone
- (706) 792-7587
- Fax
- (706) 792-7586
- NPI assigned
- Aug 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 032727 | GA | Primary |
Addresses
Primary practice location
3481 Mike Padgett Hwy
Augusat Youth Development Campus
Augusta, GA 30906-3815
Mailing address
3481 Mike Padget Highway
Augusta Ydc
Augusta, GA 30906
Phone (706) 792-7587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032727 | GA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1437159456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3481 MIKE PADGET HIGHWAY",
"address_2": "AUGUSTA YDC",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30906",
"telephone_number": "706-792-7587",
"fax_number": "706-792-7586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3481 MIKE PADGETT HWY",
"address_2": "AUGUSAT YOUTH DEVELOPMENT CAMPUS",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309063815",
"telephone_number": "706-792-7587",
"fax_number": "706-792-7586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "WILLIAM",
"middle_name": "SOUTHALL",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-01",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "GA",
"license": "032727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.