Jason Evans, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

007834 Issued in GA

Practice address

311 Jones Mill Rd
Statesboro, GA 30458-4765

Phone

(800) 242-9455

NPI assigned

Dec 9, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Georgia Emergency Associates Immediate Care Center

  • General Practice Physician
  • Savannah, GA
  • NPI 1306876081
  NPD
• Willingway, Inc.

  dba Willingway Hospital

  • Special Hospital
  • Statesboro, GA
  • NPI 1174682546
  NPD (past)

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1942675491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 JONES MILL RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584765",
            "telephone_number": "800-242-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 JONES MILL RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584765",
            "telephone_number": "800-242-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "JASON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "007834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen N Emerson, PH.D
• Richard L. Emert, D.D.S.
• Hamilton Osasere Emokpae, M.D.
• Erin Lawson Psy.D. LLC
• Chandler Cloy Ernst, M.S. CCC-SLP
• Everside Health Sti-Stateboro
• Eyemart Express LLC
• Eyes on Georgia LLC
• Uchechukwu P Ezeigwe, MD
• Krystal Anne Fail

• Physician Assistant in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.