NPIMap

Individual provider Active NPI

Donna Pallassinio Evans, NP

  • Nurse Practitioner
  • Conway, SC
National Provider Identifier
1942317037
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2968 Issued in SC
Practice address
847 Farrar Dr
Conway, SC 29526-8747
Phone
(843) 347-9487
Fax
(843) 347-9574
NPI assigned
Aug 24, 2006
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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 2968 SC Primary

Addresses

Primary practice location

847 Farrar Dr
Conway, SC 29526-8747

Mailing address

847 Farrar Dr
Conway, SC 29526-8747
Phone (843) 347-9487

Other practice location 1

1151 44th Ave N
Myrtle Beach, SC 29577-5756
Phone (843) 497-7275

Other practice location 2

98 Stone Chimney Rd SE
Supply, NC 28462-3374
Phone (843) 497-7275

Other identifiers 5

IdentifierTypeStateIssuer
7003984MedicaidNC
AA15178516OtherSCMEDICARE
20055544OtherSCSELECT HEALTH
NP1018MedicaidSC
P00403923OtherSCRAIL ROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000389 SC Practitioner - Nurse Practitioner 1658376272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Kidney Center PAGroup PAC ID 3173553484, 7 clinicians

Practice addresses (Care Compare)

1151 44TH N Ave
Mytle Beach, SC 29577-5756
Phone (843) 497-7275

847 Farrar Dr
Conway, SC 29526-8747
Phone (843) 347-9487

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.89 of 100Reported as group
Quality
81.02
Improvement activities
40
Cost
78.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2968SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Kidney Center PA CurrentSince Jul 12, 2016 Accepting new patients
Waccamaw Dermatology, LLC PastSince Oct 15, 2025 Accepting new patients

Locations

847 Farrar Dr
Conway, SC 29526
Phone (843) 347-9487

834 Farrar Dr
Conway, SC 29526
Phone (843) 347-9487

1151 44th Ave N
Myrtle Beach, SC 29577
Phone (843) 497-7275

Interoperability endpoints

  • Direct secure messaging: devans51128@directmcleodehealth.org
  • Direct secure messaging: devans16161@direct.acumenmd.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1942317037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 FARRAR DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268747",
            "telephone_number": "843-347-9487",
            "fax_number": "843-347-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 FARRAR DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268747",
            "telephone_number": "843-347-9487",
            "fax_number": "843-347-9574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 44th Ave N",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295775756",
            "country_code": "US",
            "telephone_number": "843-497-7275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 Stone Chimney Rd SE",
            "address_purpose": "LOCATION",
            "city": "Supply",
            "state": "NC",
            "postal_code": "284623374",
            "country_code": "US",
            "telephone_number": "843-497-7275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "DONNA",
        "middle_name": "PALLASSINIO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "2968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003984",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AA15178516",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "20055544",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1018",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00403923",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.