William Graham Evans Jr., PAC

Individual provider Active NPI Medical Physician Assistant · Havelock, NC

NPI 1952397101 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1952397101
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
39759 (NC)
Practice address
1224 E Main St
Havelock, NC 28532-2405
Phone
(252) 447-7474
Fax
(252) 447-1050
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
39759NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beachcare Urgent Medical Care Center of Havelock Past
since Aug 6, 1996
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 39759 NC Yes

Addresses

Primary practice location

1224 E Main St
Havelock, NC 28532-2405

Mailing address

143 Lola LN
Morehead City, NC 28557-8925
Phone (252) 726-2114

Other providers in Havelock, NC

All providers in Havelock, NC · Medical Physician Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.