Tabitha Evans, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN210404 Issued in GA

Practice address

338 Veterans Memorial Pkwy
Commerce, GA 30530-8243

Phone

(706) 336-3921

Fax

(706) 336-3960

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1609572163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 VETERANS MEMORIAL PKWY",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305308243",
            "telephone_number": "706-336-3921",
            "fax_number": "706-336-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 VETERANS MEMORIAL PKWY",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305308243",
            "telephone_number": "706-336-3921",
            "fax_number": "706-336-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TABITHA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN210404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelia Doss
• Charles Seidel Dwozan, PT, DPT
• Michael R. Eberhardt, MD
• Edmunds Programs for Human Services Incorporated
• Elite Physical Therapy, Inc.
• Evernorth Direct Health LLC
• Every Smile Family Dentistry
• Family First Care of Commerce, LLC
• Family Foot Care Center (Jon T. Middleton, DPM, PC)
• Family Orthopedics, P.C.

• Registered Nurse in Commerce, GA
• Providers in Commerce, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.