Individual provider Active NPI

Mary Evans, N.P.

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1508948340
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-088191 Issued in AL
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

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913000338 AL Practitioner - Nurse Practitioner 2163886979 Reassigns benefits to 2 organizations

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
Auburn Family Medicine LLCGroup PAC ID 9234203530, 6 clinicians

Practice addresses (Care Compare)

665 N Dean Rd
Auburn, AL 36830-4098
Phone (334) 826-1111

Hospital & facility affiliations

  • The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Associates CurrentSince Jul 3, 2023 Accepting new patients
Auburn Family Medicine, LLC CurrentSince May 19, 2025 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

  • Direct secure messaging: mary.evans.1@32548.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.