Individual provider Active NPI

Amy N Evans, NP

  • Family Nurse Practitioner
  • Lavonia, GA
National Provider Identifier
1730684101
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN198042 Issued in GA
Practice address
355 Clear Creek Pkwy Ste 1003
Lavonia, GA 30553-4271
Phone
(706) 356-0780
Fax
(706) 356-0781
NPI assigned
Mar 28, 2018
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN198042 GA Primary

Addresses

Primary practice location

355 Clear Creek Pkwy Ste 1003
Lavonia, GA 30553-4271

Mailing address

PO Box 48089
Athens, GA 30604-8089
Phone (706) 389-3727

Other practice location 1

219 Idlewood Acres
Hartwell, GA 30643-4176
Phone (706) 961-7319

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180621002743 GA Practitioner - Nurse Practitioner 8820343478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary's Medical Group, Inc.Group PAC ID 7113098393, 118 clinicians

Practice addresses (Care Compare)

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3000

355 Clear Creek Pkwy
Lavonia, GA 30553-4271

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN198042GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Medical Group, Inc. CurrentSince Apr 30, 2018 Accepting new patients
St Mary's Medical Group, Inc Current Accepting new patients
Sound Physicians Emergency Medicine of Georgia PC CurrentSince Apr 14, 2018 Accepting new patients
St. Mary's Medical Group, Inc. CurrentSince Apr 30, 2018 Accepting new patients

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

740 Prince Ave
Ste 2
Athens, GA 30606
Phone (706) 548-5488

355 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-2934

355 Clear Creek Pkwy
Ste 1003
Lavonia, GA 30553
Phone (706) 356-1422

355 Clear Creek Pkwy
Ste 1004
Lavonia, GA 30553
Phone (706) 356-0780

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

Interoperability endpoints

  • Direct secure messaging: aevans2017051@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1730684101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48089",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048089",
            "telephone_number": "706-389-3727",
            "fax_number": "706-389-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CLEAR CREEK PKWY STE 1003",
            "city": "LAVONIA",
            "state": "GA",
            "postal_code": "305534271",
            "telephone_number": "706-356-0780",
            "fax_number": "706-356-0781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Idlewood Acres",
            "address_purpose": "LOCATION",
            "city": "Hartwell",
            "state": "GA",
            "postal_code": "306434176",
            "country_code": "US",
            "telephone_number": "706-961-7319",
            "fax_number": "706-961-7319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "AMY",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN198042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lavonia, GA

Sources for this page

Verify at the official NPI Registry.