NPIMap

Individual provider Active NPI

Evan Sugar, PA-C

  • Physician Assistant
  • Belmont, NC
National Provider Identifier
1962173716
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
608 Secrest Ave
Belmont, NC 28012-4020
Phone
(910) 366-3808
NPI assigned
Sep 22, 2021
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 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 NU Primary

Addresses

Primary practice location

608 Secrest Ave
Belmont, NC 28012-4020

Mailing address

608 Secrest Ave
Belmont, NC 28012-4020
Phone (910) 366-3808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, SC, NC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220420000975 WA Practitioner - Physician Assistant 3173910205 Reassigns benefits to 1 organization
I20250108002478 SC Practitioner - Physician Assistant 3173910205 Reassigns benefits to 2 organizations
I20250428003287 NC Practitioner - Physician Assistant 3173910205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watauga Medical Center IncGroup PAC ID 2668377474, 95 clinicians

Practice addresses (Care Compare)

336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4133

338 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4133

434 Hospital Dr
Linville, NC 28646-0787
Phone (828) 737-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5608SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Physician Assistant CurrentSince Mar 1, 2022 Accepting new patients
Watauga Medical Center Inc CurrentSince Apr 10, 2025 Accepting new patients
Watauga Medical Center, Inc. CurrentSince Apr 10, 2025 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc Current Accepting new patients
Charles a Cannon Jr Memorial Hospital Inc CurrentSince Apr 10, 2025 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. Current Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Mar 1, 2022 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. CurrentSince Apr 10, 2025 Accepting new patients
Georgetown Memorial Hospital CurrentSince Feb 1, 2025 Accepting new patients

Locations

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Organizations & group practices 11

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 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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1962173716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 SECREST AVE",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280124020",
            "telephone_number": "910-366-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 SECREST AVE",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280124020",
            "telephone_number": "910-366-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGAR",
        "first_name": "EVAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

Verify at the official NPI Registry.