Individual provider Active NPI

Amy Hurst Evans, M.D.

  • Pediatrics Physician
  • Sewanee, TN
National Provider Identifier
1700897485
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD025878 Issued in TN
Practice address
1318 University Ave
Sewanee, TN 37375-2336
Phone
(931) 598-9761
Fax
(931) 598-5038
NPI assigned
Aug 10, 2006
Last updated
Nov 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD025878 TN Primary

Addresses

Primary practice location

1318 University Ave
Sewanee, TN 37375-2336

Mailing address

P.O. Box 249
Sewanee, TN 37375-2303
Phone (931) 598-9761

Other identifiers 1

IdentifierTypeStateIssuer
4049026OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230310001201 TN Practitioner - Pediatric Medicine 1951338847 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD025878TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Southern Tennessee LLC CurrentSince Apr 1, 2023 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Apr 1, 2023 Accepting new patients
Amg -Southern Tennessee LLC Past Accepting new patients
Amg-Southern Tennessee LLC Past Accepting new patients
Sewanee Pediatrics and Adolescent Medicine PLLC Pediatrics Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1318 University Ave
Sewanee, TN
Phone (931) 598-9761

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

Interoperability endpoints

  • Direct secure messaging: amy.evans.1@19363.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1292/brand/1/csg/41/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1700897485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 249",
            "city": "SEWANEE",
            "state": "TN",
            "postal_code": "373752303",
            "telephone_number": "931-598-9761",
            "fax_number": "931-598-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 UNIVERSITY AVE",
            "city": "SEWANEE",
            "state": "TN",
            "postal_code": "373752336",
            "telephone_number": "931-598-9761",
            "fax_number": "931-598-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "AMY",
        "middle_name": "HURST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD025878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4049026",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewanee, TN

Sources for this page

Verify at the official NPI Registry.