Meredith Marie Evans, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN257711 Issued in GA

Practice address

55 Whitcher St NE Ste 460
Marietta, GA 30060-1171

Phone

(678) 388-1577

Fax

(770) 427-1492

NPI assigned

Nov 12, 2020

Reactivated

Sep 14, 2023

Last updated

Sep 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Kidney Associates, Inc.Group PAC ID 1951399799, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Georgia Kidney Associates, Inc.

  • Specialist
  • Marietta, GA
  • NPI 1932183654
  Medicare reassignment Care Compare group NPD
• G

  • Acute Care Nurse Practitioner
  • Marietta, GA
  • NPI 1215476304
  NPD

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1841892098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WHITCHER ST NE STE 460",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601171",
            "telephone_number": "678-388-1577",
            "fax_number": "770-427-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WHITCHER ST NE STE 460",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601171",
            "telephone_number": "678-388-1577",
            "fax_number": "770-427-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MEREDITH",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "deactivation_date": "2023-08-21",
        "reactivation_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN257711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F01211111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA SECRETARY OF STATE",
            "identifier": "RN257711",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Christine Ettinger
• Eugene B. Gabianelli, MD & Assoc. LLC (Georgia Eye Partners)
• Amanda Mashae Evans, MD
• Branden Evans, D.C.
• Chad Landon Evans
• Rebekah Ruth Evans, MS, LPC
• Eveningred Chiropractic and Wellness Center, LLC
• Steven P Eveningred, D.C.
• Ever Wellness Center, Inc
• Alexandria Everett

• Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.