Paul Andrew Evangelisti, MD

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

22833 Issued in SC

Practice address

100 N Sumter St
Suite 400
Sumter, SC 29150-4916

Phone

(839) 200-7205

Fax

(803) 778-5403

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sumter Ear Nose Throat and Facial Plastic Surgery LLCGroup PAC ID 2062471451, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJCABA

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.

• Sumter Ear, Nose, Throat & Facial Plastic Surgery, LLC

  • Otolaryngology Physician
  • Sumter, SC
  • NPI 1285679290
  Medicare reassignment Care Compare group NPD
• Sleepworks, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Greenville, SC
  • NPI 1912919739
  NPD

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

• Prisma Health-Midlands

  • General Acute Care Hospital
  • Sumter, SC
  • NPI 1326043548
  Care Compare affiliation

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755302400000",
    "number": "1982625745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N SUMTER ST",
            "address_2": "SUITE 400",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504916",
            "telephone_number": "839-200-7205",
            "fax_number": "803-778-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N SUMTER ST",
            "address_2": "SUITE 400",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504916",
            "telephone_number": "839-200-7205",
            "fax_number": "803-778-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANGELISTI",
        "first_name": "PAUL",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "22833",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "SC",
            "license": "22833",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "SC",
            "license": "22833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2894",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Elizabeth Eppley, DPT
• William Burton Epps Jr., MD
• Barbara Jean Epps, FNP
• Sharolyn Epps
• Eugenie Elizabeth Ermis
• Sandra L. Evans, MPH
• Evening Pilot Club of Sumter Foundation, Inc.
• Excelsior Medical Clinic, PA
• Eyemart Express LLC
• Michael Boyrkin Fadden, LMT#11800

• Otolaryngology/Facial Plastic Surgery Physician in Sumter, SC
• Providers in Sumter, SC by specialty
• Otolaryngology/Facial Plastic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.