Active NPI
Michael Wayne Evans Jr., DC
- Chiropractor
- Eatonton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009822
- Practice address
- 112 Harmony Xing Ste 1
Eatonton, GA 31024-9536 - Phone
- (706) 991-5348
- NPI assigned
- Sep 28, 2017
- Last updated
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009822 | GA | Primary |
Addresses
Primary practice location
112 Harmony Xing Ste 1
Eatonton, GA 31024-9536
Mailing address
112 Harmony Xing Ste 1
Eatonton, GA 31024-9536
Phone (706) 991-5348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
130 Log Cabin Rd NE
Unit B
Milledgeville, GA 31061-0918
Phone (478) 457-0003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Chiropractic Milledgeville LLC | Chiropractor | Current | Accepting new patients |
| Dr. Brian Gillis P C | Chiropractor | Current | Accepting new patients |
Locations
130 Log Cabin Rd NE
Unit B
Milledgeville, GA 31061
Phone (478) 457-0003
4027 Watson Blvd
Ste 180
Warner Robins, GA 31093
Phone (478) 333-1773
Organizations & group practices 3
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.
-
- Chiropractor
- Milledgeville, GA
- NPI 1700146883
-
- Chiropractor
- Eatonton, GA
- NPI 1780196659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1710496138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 HARMONY XING STE 1",
"city": "EATONTON",
"state": "GA",
"postal_code": "310249536",
"telephone_number": "706-991-5348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 HARMONY XING STE 1",
"city": "EATONTON",
"state": "GA",
"postal_code": "310249536",
"telephone_number": "706-991-5348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eatonton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.