Active NPI
John Weston Evans, PAC
- Physician Assistant
- Ruston, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 305511
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Fmol Health St Francis
- Monroe Surgical Hospital
- Glenwood Regional Medical Center
- Morehouse General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Group of Louisiana Inc | Current | 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
- ouachitamedicalclinic.johnevans@157318.advancedmd-direct.com
- 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.
-
- Family Medicine Physician
- West Monroe, LA
- NPI 1013486059
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Monroe, LA
- NPI 1437185055
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.