Evolve Healthcare Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EVOLVE HEALTHCARE SERVICES LLC

Practice address

3631 Chamblee Tucker Rd Ste a
Atlanta, GA 30341-4415

Phone

(678) 469-9526

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

Jasmin L Booker

Title

Ceo

Phone

(678) 469-9526

Specialties & licenses 2

Addresses

Electronic endpoints 2

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1902409410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 CHAMBLEE TUCKER RD STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 CHAMBLEE TUCKER RD STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414415",
            "telephone_number": "678-469-9526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6339 Charlotte Pike",
            "address_2": "PMB 2199",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37209",
            "country_code": "US",
            "telephone_number": "404-491-7716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVOLVE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-469-9526"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "evolvehealthcarecj@gmail.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3631 Chamblee Tucker Rd Ste A",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303414415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@evolvehealthcareservices.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6339 Charlotte Pike",
            "address_2": "PMB 2199",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Everwell Urgent Care Inc
• Brian H Eves, RD, LD
• Evolution Health and Wellness, Inc.
• Evolve Center LLC
• Evolve Health Services
• Evolve Mobile Phlebotomy
• Evovle ABA Care Corp
• Jeffrey Louis Evra, D.D.S.
• Abdulwahab M Ewaz
• Julia Elena Ewers, RN

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.