Individual provider Active NPI

Evans Pemba, AU.D.

  • Audiologist
  • Ocala, FL
National Provider Identifier
1518324326
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2007 Issued in FL
Practice address
1630 SE 18TH St Ste 203
Ocala, FL 34471-5441
Phone
(352) 672-1653
NPI assigned
Jan 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY 2007 FL
Audiologist 231H00000X AY2007 FL Primary

Addresses

Primary practice location

1630 SE 18TH St Ste 203
Ocala, FL 34471-5441

Mailing address

7630 NW 51St Dr
Gainesville, FL 32653-1141
Phone (352) 672-1653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230511001126 FL Practitioner - Qualified Audiologist 0547533713 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY 2007FLMDAudiologist
AY2007FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Ears LLC Audiologist CurrentSince May 1, 2023 Accepting new patients

Locations

1630 SE 18th St
Ste 203
Ocala, FL 34471
Phone (352) 672-1653

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1518324326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 NW 51ST DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326531141",
            "telephone_number": "352-672-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 SE 18TH ST STE 203",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715441",
            "telephone_number": "352-672-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBA",
        "first_name": "EVANS",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-25",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY 2007",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.