Individual provider Active NPI

Leslie Logan Evans, MD

  • Obstetrics & Gynecology Physician
  • Fairhope, AL
National Provider Identifier
1487872271
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25937 Issued in AL
Practice address
150 S Ingleside St Ste 6
Fairhope, AL 36532-1804
Phone
(251) 929-1222
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25937 AL Primary

Addresses

Primary practice location

150 S Ingleside St Ste 6
Fairhope, AL 36532-1804

Mailing address

104 Kepler PL
Fairhope, AL 36532-3465
Phone (251) 622-4115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090921000047 AL Practitioner - Obstetrics/Gynecology 0749336535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Park OBGYN PC 6 clinicians

Practice addresses (Care Compare)

150 S Ingleside St
Suite 6
Fairhope, AL 36532-1804
Phone (251) 928-1222

Hospital & facility affiliations

  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100
  • Baldwin Health Hospital, Foley, AL, CCN 010083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25937ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairhope Internal Medicine PC CurrentSince Mar 19, 2018 Accepting new patients
Medical Park OBGYN PC Obstetrics & Gynecology CurrentSince Aug 1, 2009 Accepting new patients
Gulf Health Hospitals, Inc Past Accepting new patients

Locations

19450 Greeno Rd
Fairhope, AL 36532
Phone (251) 928-1222

150 S Ingleside St
#6
Fairhope, AL 36532
Phone (251) 928-1222

Interoperability endpoints

  • Direct secure messaging: leslie.evans@alc011.digichart.direct-ci.com

Organizations & group practices 3

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 2

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1487872271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 KEPLER PL",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323465",
            "telephone_number": "251-622-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S INGLESIDE ST STE 6",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321804",
            "telephone_number": "251-929-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "LESLIE",
        "middle_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "25937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.