Active NPI
Donna L Evans, MD
- Pediatrics Physician
- Savannah, GA
National Provider Identifier
1972530525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 038227
- Practice address
- 4700 Waters Ave
Savannah, GA 31404-6220 - Phone
- (912) 350-8180
- Fax
- (912) 350-8427
- NPI assigned
- Jun 27, 2006
- Last updated
- Jan 4, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 038227 | GA | Primary |
Addresses
Primary practice location
4700 Waters Ave
Savannah, GA 31404-6220
Mailing address
5002 Waters Ave
Savannah, GA 31404-6226
Phone (912) 350-8180
Other practice location 1
5002 Waters Ave
Savannah, GA 31404-6226
Phone (912) 350-8180
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G38227 | Medicaid | SC | |
| 349757 | Other | GA | WELLCARE |
| 370017873 | Other | GA | RR MEDICARE |
| 000597891B | Medicaid | GA | |
| 10064419 | Other | GA | AMERIGROUP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | devans49550@epicsav.hcadirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038227 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MPPG, Inc. | Pediatrics | Current | Accepting new patients |
Locations
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
Interoperability endpoints
- devans49550@epicsav.hcadirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1972530525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5002 WATERS AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046226",
"telephone_number": "912-350-8180",
"fax_number": "912-350-5697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 WATERS AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046220",
"telephone_number": "912-350-8180",
"fax_number": "912-350-8427"
}
],
"practiceLocations": [
{
"address_1": "5002 Waters Ave",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314046226",
"country_code": "US",
"telephone_number": "912-350-8180",
"fax_number": "912-350-5697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "DONNA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "038227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G38227",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "349757",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "370017873",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000597891B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10064419",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "devans49550@epicsav.hcadirect.net",
"affiliation": "N",
"address_1": "5002 Waters Ave",
"city": "Savannah",
"state": "GA",
"country_code": "US",
"postal_code": "314046226",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.