Individual provider Active NPI

Walter James Evans, MD

  • Specialist
  • Florence, SC
National Provider Identifier
1871609388
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18276 Issued in SC
Practice address
436 W Palmetto St
Florence, SC 29501-4425
Phone
(843) 669-2007
Fax
(843) 669-6677
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18276 SC Primary

Addresses

Primary practice location

436 W Palmetto St
Florence, SC 29501-4425

Mailing address

436 W Palmetto St
Florence, SC 29501-4425
Phone (843) 669-2007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000571 SC Practitioner - NeurologyPractitioner - Other (Physician) 5395636708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Louisiana State University School of Medicine in New Orleans, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

436 W Palmetto St
Florence, SC 29501-4425
Phone (843) 373-8440

Hospital & facility affiliations

  • Centerwell Home Health-Pee Dee Home health agency, Florence, SC, CCN 427854
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091
  • Carolina Pines Regional Medical Center Hospital, Hartsville, SC, CCN 420010
  • McLeod Health Cheraw Hospital, Cheraw, SC, CCN 420107
  • McLeod Medical Center - Dillon Hospital, Dillon, SC, CCN 420005

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Neurological Services PC CurrentSince Jan 2, 2002 Accepting new patients

Locations

436 W Palmetto St
Florence, SC 29501
Phone (843) 373-8440

Interoperability endpoints

  • Direct secure messaging: walter.evans.p1@direct.compneuro.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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 6

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1871609388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014425",
            "telephone_number": "843-669-2007",
            "fax_number": "843-669-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014425",
            "telephone_number": "843-669-2007",
            "fax_number": "843-669-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "WALTER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "18276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.