Organization Active NPI

Comprehensive Neurological Services PC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Florence, SC
National Provider Identifier
1568414555
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
22902 Issued in SC
Legal business name
COMPREHENSIVE NEUROLOGICAL SERVICES PC
Practice address
436 W Palmetto Street
Florence, SC 29501
Phone
(843) 669-2007
Fax
(843) 669-6677
NPI assigned
May 17, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Walter James Evans, MDNPI 1871609388
Title
Doctor
Phone
(843) 669-2007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 18276 SC
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 22902 SC Primary

Addresses

Primary practice location

436 W Palmetto Street
Florence, SC 29501

Mailing address

PO Box 7124
Florence, SC 29502-7124
Phone (843) 669-2007

Other identifiers 4

IdentifierTypeStateIssuer
GP3382MedicaidSC
T71749MedicaidSC
0503617OtherSCCCP
T22981MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000358 SC Part B Supplier - Clinic/Group Practice 2961393376 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, SC

National Provider Directory

National Provider Directory

Locations

436 W Palmetto St
Florence, SC 29501
Phone (843) 373-8440

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1568414555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7124",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295027124",
            "telephone_number": "843-669-2007",
            "fax_number": "843-669-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 W PALMETTO STREET",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29501",
            "telephone_number": "843-669-2007",
            "fax_number": "843-669-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "843-669-2007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "18276",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "SC",
            "license": "22902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3382",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T71749",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCP",
            "identifier": "0503617",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T22981",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.