Active NPI
J. Gary Evans, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Jacksonville, FL
National Provider Identifier
1699779975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME63658
- Practice address
- 915 W Monroe St Ste 200
Jacksonville, FL 32204-1177 - Phone
- (904) 384-2240
- Fax
- (904) 486-2314
- NPI assigned
- Jun 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME63658 | FL | |
| Internal Medicine Physician | 207R00000X | ME63658 | FL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME63658 | FL | Primary |
Addresses
Primary practice location
915 W Monroe St Ste 200
Jacksonville, FL 32204-1177
Mailing address
915 W Monroe St Ste 200
Jacksonville, FL 32204-1177
Phone (904) 384-2240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373062000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of Maryland School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1375 Roberts Dr
Suite 206
Jacksonville Beach, FL 32250-3209
Phone (904) 384-2240
915 W Monroe St
Suite 200
Jacksonville, FL 32204-1177
Phone (904) 384-2240
Hospital & facility affiliations
- Baptist Medical Center Beaches
- Baptist Health Medical Center - Jacksonville
- Ed Fraser Memorial Hospital
- Baptist Medical Center - Nassau
- Southeast Georgia Health System -- Camden Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.44 of 100
- Quality
- 84.21
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Florida Endocrine and Diabetes Associates PA | Specialist | Current | Accepting new patients |
| North East Florida Endocrine and Diabetes Assoc PA | Current | Accepting new patients |
Locations
4190 Belfort Rd
Ste 352
Jacksonville, FL 32216
915 W Monroe St
Ste 200
Jacksonville, FL 32204
1375 Roberts Dr
Ste 206
Jax Bch, FL 32250
Phone (904) 247-1456
Interoperability endpoints
- jgaryevans@nfed.allscriptsdirect.net
- jevans742643@direct.shands.ufl.edu
Organizations & group practices 2
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.
-
- General Practice Physician
- Jacksonville, FL
- NPI 1215932520
Specialist
-
- Customized Equipment (DME)
- Jacksonville, FL
- NPI 1992070585
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Macclenny, FL
- NPI 1104926401
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
- General Acute Care Hospital
- Saint Marys, GA
- NPI 1194744326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1699779975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 W MONROE ST STE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322041177",
"telephone_number": "904-384-2240",
"fax_number": "904-486-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 W MONROE ST STE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322041177",
"telephone_number": "904-384-2240",
"fax_number": "904-486-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "J.",
"middle_name": "GARY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME63658",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME63658",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME63658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373062000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.