Evelyn W Poe

Primary specialty

DriverTaxonomy code 172A00000X

License

5705984 Issued in NC

Practice address

3715 Bardot Dr
Charlotte, NC 28216-3120

Phone

(704) 963-1657

Fax

(704) 963-1657

NPI assigned

Apr 30, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Break Every Chain Resource Center Inc

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1720961345
  NPD Authorized official

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1740079409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 BARDOT DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163120",
            "telephone_number": "704-963-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 BARDOT DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282163120",
            "telephone_number": "704-963-1657",
            "fax_number": "704-963-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "EVELYN",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NC",
            "license": "5705984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Givens Pochick, MD
• Richard John Pockat, D.D.S., M.S.
• Wendy Pocock, MACC
• Michelle Lee Podboreski Finnin, AU.D.
• Podiatric Health Care
• Joshua Poe
• Kateria Poe
• Terrell Tre'on Poe, LCSWA
• Tiara Poe
• Pohlman Psychology P.C.

• Driver in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Driver in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.