Individual provider Active NPI

Molly M Evans, PA

  • Physician Assistant
  • Roxboro, NC
National Provider Identifier
1447213814
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103130 Issued in NC
Practice address
107 Weeks Dr
Roxboro, NC 27573-3929
Phone
(336) 598-5480
Fax
(336) 598-5482
NPI assigned
Apr 7, 2006
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103130 NC Primary

Addresses

Primary practice location

107 Weeks Dr
Roxboro, NC 27573-3929

Mailing address

107 Weeks Dr
Roxboro, NC 27573-3929
Phone (336) 598-5480

Other practice location 1

3762 Durham Rd Ste A
Roxboro, NC 27573-2741
Phone (336) 330-0400

Other practice location 2

910 N Madison Blvd Ste B
Roxboro, NC 27573-4573
Phone (336) 592-2230

Other identifiers 1

IdentifierTypeStateIssuer
1447213814MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000427 NC Practitioner - Physician Assistant 3476523721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

7010 NC Hwy 751
Durham, NC 27707-5733
Phone (919) 313-3900

903 S Beckford Dr
Henderson, NC 27536-5908
Phone (252) 654-1020

910 N Madison Blvd
Suite B
Roxboro, NC 27573-4573
Phone (336) 592-2230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Person Urgent Care LLC CurrentSince Mar 15, 2019 Accepting new patients
University Prompt Care Current Accepting new patients
DLP Person Urgent Care LLC CurrentSince Mar 15, 2019 Accepting new patients
University Health Care Physicians LLC Current Accepting new patients
University Medical Group LLC Current Accepting new patients
North Carolina Em I Medical Services P C Physician Assistant Past Accepting new patients
Person Family Medical Center Incorporated Past Accepting new patients
Raleigh Durham Medical Group PA PastSince Jul 25, 2021 Accepting new patients
Person Emergency Physicans PA Past Accepting new patients
Person Emergency Services PLLC Past Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients

Locations

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

3762 Durham Rd
Ste A
Roxboro, NC 27573
Phone (336) 330-0400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1447213814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WEEKS DR",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275733929",
            "telephone_number": "336-598-5480",
            "fax_number": "336-598-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WEEKS DR",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275733929",
            "telephone_number": "336-598-5480",
            "fax_number": "336-598-5482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3762 Durham Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Roxboro",
            "state": "NC",
            "postal_code": "275732741",
            "country_code": "US",
            "telephone_number": "336-330-0400",
            "fax_number": "336-330-0031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 N Madison Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Roxboro",
            "state": "NC",
            "postal_code": "275734573",
            "country_code": "US",
            "telephone_number": "336-592-2230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MOLLY",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447213814",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

Verify at the official NPI Registry.