Active NPI
Daniel Bartlette Evans, DC
- Chiropractor
- Stone Mountain, GA
National Provider Identifier
1851745301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 009679
- Practice address
- 5646 Brady Dr
Stone Mountain, GA 30087-3009 - Phone
- (404) 630-0504
- NPI assigned
- Apr 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 009679 | GA | Primary |
Addresses
Primary practice location
5646 Brady Dr
Stone Mountain, GA 30087-3009
Mailing address
5646 Brady Dr
Stone Mountain, GA 30087-3009
Phone (404) 630-0504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009679 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1851745301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5646 BRADY DR",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300873009",
"telephone_number": "404-630-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5646 BRADY DR",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300873009",
"telephone_number": "404-630-0504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "DANIEL",
"middle_name": "BARTLETTE",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-21",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "009679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.