Individual provider Active NPI

Evan Scott Forhetz, PA-C

  • Physician Assistant
  • Manchester, TN
National Provider Identifier
1760076996
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4506 Issued in TN
Practice address
2345 Murfreesboro Hwy
Manchester, TN 37355-3206
Phone
(931) 313-3818
NPI assigned
Feb 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4506 TN Primary

Addresses

Primary practice location

2345 Murfreesboro Hwy
Manchester, TN 37355-3206

Mailing address

2345 Murfreesboro Hwy
Manchester, TN 37355-3206
Phone (931) 313-3818

Other practice location 1

5511 Virginia Way Ste 300
Brentwood, TN 37027-7611
Phone (615) 994-1000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210423001007 TN Practitioner - Physician Assistant 0749698116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James R Nunley DO PCGroup PAC ID 3870405228, 8 clinicians
National Addiction Specialists LLCGroup PAC ID 1254709959, 16 clinicians

Practice addresses (Care Compare)

2345 Murfreesboro Hwy
Manchester, TN 37355-3206
Phone (931) 728-5607

5511 Virginia Way
Suite 300
Brentwood, TN 37027-7611
Phone (615) 994-1000

905 S Church St
Murfreesboro, TN 37130-4915
Phone (931) 728-5607

Hospital & facility affiliations

  • Unity Medical Center Hospital, Manchester, TN, CCN 440007

Merit-based Incentive Payment System (MIPS)

Final score
64.71 of 100Reported as group
Quality
0
Promoting interoperability
99
Improvement activities
40
Cost
77.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
4506TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
National Addiction Specialists LLC CurrentSince Jan 9, 2026 Accepting new patients

Locations

5511 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 692-1560

Interoperability endpoints

  • Direct secure messaging: evan.forhetz.1@3329.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1614470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1760076996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 MURFREESBORO HWY",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553206",
            "telephone_number": "931-313-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 MURFREESBORO HWY",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553206",
            "telephone_number": "931-313-3818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5511 Virginia Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370277611",
            "country_code": "US",
            "telephone_number": "615-994-1000",
            "fax_number": "615-994-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORHETZ",
        "first_name": "EVAN",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-28",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

Verify at the official NPI Registry.