Evan T Mann

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

3942 Market St
Wilmington, NC 28403-1488

Phone

(910) 616-7718

NPI assigned

Jan 3, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Carolina Concierge Service

  • Non-emergency Medical Transport (VAN)
  • Wilmington, NC
  • NPI 1114688702
  NPD Authorized official
• Coastal Carolina Concierge Service

  • Non-emergency Medical Transport (VAN)
  • Wilmington, NC
  • NPI 1255916524
  NPD Authorized official

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1699436683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 TREY CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033718",
            "telephone_number": "910-616-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3942 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031488",
            "telephone_number": "910-616-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "EVAN",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Evan@Coastalccs.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3942 Market St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284031488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Haley Lynn Mango, MSW, LCSWA
• Jennah Mangum, LCSWA
• Whitney Mangum
• Kernan Thomas Manion, M.D.
• Steven J Maniscalco, M.S., D.C.
• Katherine Sawyer Mann, FAMILY NURSE PRACTIT
• Keith W Mann, DDS
• Madelyn Mann, CCC-SLP
• Benjamin Jacobs Manning, MSW, LCAS, LCSW
• Peter Manolukas, DO

• Non-emergency Medical Transport (VAN) in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.