Individual provider Active NPI

Evelyn Jane Watson Murray, NP-C

  • Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1902232838
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN102687 Issued in GA
Practice address
2410 Bemiss Rd Ste C
Valdosta, GA 31602
Phone
(229) 216-8604
Fax
(229) 375-0758
NPI assigned
Sep 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN102687 GA Primary

Addresses

Primary practice location

2410 Bemiss Rd Ste C
Valdosta, GA 31602

Mailing address

5182 Village Way
Hahira, GA 31632
Phone (229) 412-1972

Other names 1

  • Evelyn Jane Watson Murray Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150421001956 GA Practitioner - Nurse Practitioner 9436477585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN102687GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Medical Center LLC CurrentSince Apr 1, 2016 Accepting new patients
Care Medical Center LLC CurrentSince Apr 1, 2016 Accepting new patients

Locations

2804 N Oak St
Ste C
Valdosta, GA 31602
Phone (229) 241-8925

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1902232838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5182 VILLAGE WAY",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "31632",
            "telephone_number": "229-412-1972",
            "fax_number": "229-375-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 BEMISS RD STE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-216-8604",
            "fax_number": "229-375-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "EVELYN JANE",
        "middle_name": "WATSON",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN102687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN JANE",
            "last_name": "MURRAY",
            "middle_name": "WATSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.