Individual provider Active NPI

John Weston Evans, PAC

  • Physician Assistant
  • Ruston, LA
National Provider Identifier
1912433244
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
305511 Issued in LA
Practice address
902 S Vienna St
Ruston, LA 71270-5830
Phone
(318) 513-1950
NPI assigned
May 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 305511 LA Primary

Addresses

Primary practice location

902 S Vienna St
Ruston, LA 71270-5830

Mailing address

3244 Deborah Drive
Monroe, LA 71201-4129
Phone (540) 538-5133

Other practice location 1

923 Tidewater Dr
Slidell, LA 70458-5382
Phone (540) 538-5133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20170816000510 LA Practitioner - Physician Assistant 5092087734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ouachita Medical Clinic LLCGroup PAC ID 6204289622, 8 clinicians

Practice addresses (Care Compare)

3424 Medical Park Dr
Monroe, LA 71203-2387
Phone (318) 329-9447

Hospital & facility affiliations

  • Allegiance Home Health of Northeast la Home health agency, West Monroe, LA, CCN 197550
  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Monroe Surgical Hospital Hospital, Monroe, LA, CCN 190245
  • Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160
  • Morehouse General Hospital Hospital, Bastrop, LA, CCN 190116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Louisiana Inc CurrentSince Nov 1, 2021 Accepting new patients

Locations

102 Thomas Rd
Ste 104
West Monroe, LA 71291
Phone (318) 323-1559

1117 Cheniere Drew Rd
West Monroe, LA 71291
Phone (318) 329-4370

503 McMillan Rd
Fl 2
West Monroe, LA 71291
Phone (318) 329-3475

Interoperability endpoints

  • Direct secure messaging: ouachitamedicalclinic.johnevans@157318.advancedmd-direct.com
  • Direct secure messaging: johnny.evans@gcmc.directbygreenway.com

Organizations & group practices 3

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 5

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": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1912433244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 DEBORAH DRIVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014129",
            "telephone_number": "540-538-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S VIENNA ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705830",
            "telephone_number": "318-513-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "923 Tidewater Dr",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704585382",
            "country_code": "US",
            "telephone_number": "540-538-5133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JOHN",
        "middle_name": "WESTON",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-05",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "305511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.