Jeffrey L Evans, MD
Individual provider Active NPI Family Medicine Physician · Mansfield, LA
NPI 1528047008 · NPPES record last updated Aug 6, 2013
Key facts
- NPI
- 1528047008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- :016326 (LA)
- Practice address
- 130 Jefferson Street
Mansfield, LA 71052 - Phone
- (318) 872-2700
- Fax
- (318) 872-6214
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| :016326 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desoto Hospital Association | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | :016326 | LA | Yes |
Addresses
Primary practice location
130 Jefferson Street
Mansfield, LA 71052
Mailing address
PO Box 740
Mansfield, LA 71052
Phone (318) 872-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 721417526EV | Other | OCHSNERS | |
| B63077 | Other | STERLING OPTION 1 | |
| 1325961 | Medicaid | LA | |
| 080120718 | Other | RAILROAD MEDICARE | |
| 430921723B | Other | LA | BCBS |
Other providers in Mansfield, LA
- Anne Dorsey
- Niccole Dorsey
- Helen V Ducote
- Latieria Stillette Edwards
- Lori Eubanks
- Eye Central Mansfield LLC
- Lakeisha Fair
- Lisa E Falcon
- Marie Fuller
- Shania Fuller
All providers in Mansfield, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.