Individual provider Active NPI

Kyle Phillip Evatt, M.D.

  • Anesthesiology Physician
  • Anderson, SC
National Provider Identifier
1689930026
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD39368 Issued in SC
Practice address
300C E Greenville St
Anderson, SC 29621-5534
Phone
(864) 225-4601
Fax
(864) 225-6998
NPI assigned
Apr 10, 2012
Last updated
Jun 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD39368 SC Primary

Addresses

Primary practice location

300C E Greenville St
Anderson, SC 29621-5534

Mailing address

PO Box 1657
PO Box 800710
Anderson, SC 29622-1657
Phone (864) 225-4601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160712002094 SC Practitioner - Anesthesiology 4183851058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of South Carolina School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology Services of Anderson PAGroup PAC ID 7517947526, 11 clinicians

Practice addresses (Care Compare)

800 N Fant St
Anderson, SC 29621-5708
Phone 70665007052414

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD39368SCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Services of Anderson, PA Anesthesiology CurrentSince Jul 5, 2016 Accepting new patients

Locations

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1689930026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1657",
            "address_2": "PO BOX 800710",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296221657",
            "telephone_number": "864-225-4601",
            "fax_number": "864-225-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300C E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215534",
            "telephone_number": "864-225-4601",
            "fax_number": "864-225-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVATT",
        "first_name": "KYLE",
        "middle_name": "PHILLIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "MD39368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.