Active NPI
Mary Evans, N.P.
- Nurse Practitioner
- Montgomery, AL
National Provider Identifier
1508948340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-088191
- Practice address
- 1855 Halcyon Blvd
Montgomery, AL 36117-8044 - Phone
- (334) 530-6387
- Fax
- (334) 612-7540
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-088191 | AL | Primary |
Addresses
Primary practice location
1855 Halcyon Blvd
Montgomery, AL 36117-8044
Mailing address
PO Box 2527
Opelika, AL 36803-2527
Phone (334) 749-3385
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
665 N Dean Rd
Auburn, AL 36830-4098
Phone (334) 826-1111
Hospital & facility affiliations
- The East Alabama Healthcare Authority
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Associates | Current | Accepting new patients | |
| Auburn Family Medicine, LLC | Current | Accepting new patients | |
| Internal Medicine Associates P.C. | Past | Accepting new patients | |
| Internal Medicine Lab. | Past | Accepting new patients |
Locations
1855 Halcyon Blvd
Montgomery, AL 36117
Phone (334) 530-6387
Interoperability endpoints
- mary.evans.1@32548.direct.athenahealth.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.759
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Auburn, AL
- NPI 1366614430
-
- Primary Care Clinic/Center
- Montgomery, AL
- NPI 1770969834
-
- Internal Medicine Physician
- Opelika, AL
- NPI 1225108715
-
- Clinical Medical Laboratory
- Opelika, AL
- NPI 1861558041
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1508948340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2527",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368032527",
"telephone_number": "334-749-3385",
"fax_number": "334-745-7672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 HALCYON BLVD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361178044",
"telephone_number": "334-530-6387",
"fax_number": "334-612-7540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MARY",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-088191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.