Active NPI
Patricia Lashaun Evans, D.C.
- Chiropractor
- Stockbridge, GA
National Provider Identifier
1700937679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR007752
- Practice address
- 550 Eagles Landing Pkwy
Suite 205
Stockbridge, GA 30281-9081 - Phone
- (770) 389-4325
- Fax
- (770) 389-4328
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR007752 | GA | Primary |
Addresses
Primary practice location
550 Eagles Landing Pkwy
Suite 205
Stockbridge, GA 30281-9081
Mailing address
925 Hannover Cir
Stockbridge, GA 30281-7963
Phone (770) 389-3284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070402000311 | GA | Practitioner - Chiropractic | 6507762861 | Practice locations: Griffin, GA; Stockbridge, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
155 Eagles Walk
Suite F
Stockbridge, GA 30281-6342
Phone (770) 389-4325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700937679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 HANNOVER CIR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817963",
"telephone_number": "770-389-3284",
"fax_number": "770-389-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 EAGLES LANDING PKWY",
"address_2": "SUITE 205",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819081",
"telephone_number": "770-389-4325",
"fax_number": "770-389-4328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "PATRICIA",
"middle_name": "LASHAUN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR007752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.