Active NPI
Family Physicians of Evans
- Family Medicine Physician
- Evans, GA
National Provider Identifier
1609921402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY PHYSICIANS OF EVANS
- Practice address
- 465 N Belair Rd
Suite 1C
Evans, GA 30809-3188 - Phone
- (706) 854-2160
- Fax
- (706) 854-2930
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Beverly Lynn Parnell, CMA
- Title
- Practice Manager
- Phone
- (706) 854-2170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
465 N Belair Rd
Suite 1C
Evans, GA 30809-3188
Mailing address
465 N Belair Rd
Suite 1C
Evans, GA 30809-3188
Phone (706) 854-2160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300035730A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0952100 | Family Physicians of Evans | Compliance | Oct 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
465 N Belair Rd
Ste 1C
Evans, GA 30809
Phone (706) 854-2160
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10037502
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Evans, GA
- NPI 1477306488
-
- Family Medicine Physician
- Evans, GA
- NPI 1669489084
-
- Family Medicine Physician
- Evans, GA
- NPI 1740299650
-
- Family Medicine Physician
- Evans, GA
- NPI 1346383189
-
- Family Medicine Physician
- Evans, GA
- NPI 1790784593
-
- Family Nurse Practitioner
- Evans, GA
- NPI 1033450820
-
- Family Medicine Physician
- Evans, GA
- NPI 1679034995
-
- Family Medicine Physician
- Evans, GA
- NPI 1538174933
-
- Physician Assistant
- Augusta, GA
- NPI 1780070409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769558400000",
"number": "1609921402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 N BELAIR RD",
"address_2": "SUITE 1C",
"city": "EVANS",
"state": "GA",
"postal_code": "308093188",
"telephone_number": "706-854-2160",
"fax_number": "706-854-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 N BELAIR RD",
"address_2": "SUITE 1C",
"city": "EVANS",
"state": "GA",
"postal_code": "308093188",
"telephone_number": "706-854-2160",
"fax_number": "706-854-2930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PHYSICIANS OF EVANS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A",
"authorized_official_last_name": "PARNELL",
"authorized_official_first_name": "BEVERLY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "706-854-2170",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CMA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300035730A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.