Individual provider Active NPI

Nia I Evans, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1992066013
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010743 Issued in GA
Practice address
688 Spring St
Atlanta, GA 30354-1414
Phone
(404) 881-1155
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 27170 FL
Physical Therapist 225100000X PT010743 GA Primary

Addresses

Primary practice location

688 Spring St
Atlanta, GA 30354-1414

Mailing address

3029 Brass Dr
Austell, GA 30106-1043
Phone (678) 576-8982

Other names 1

  • Ms. Nia I Seidu-Clark Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131025001606 GA Practitioner - Physical Therapist in Private Practice 6305071408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
85.59
Improvement activities
40
Cost
69.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27170FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transit Home Care Consultants, LLC CurrentSince Nov 27, 2022 Accepting new patients
Integrated Therapy LLC Physical Therapist CurrentSince May 30, 2023 Accepting new patients
Aica Orthopedics, P. C. Past Accepting new patients
Life Clinic of Ga PC Physical Therapist PastSince Dec 3, 2022 Accepting new patients

Locations

855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336

920 Dannon Vw SW
Ste 3103
Atlanta, GA 30331
Phone (404) 549-9471

2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309

884 Church St SE
Smyrna, GA 30080

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1992066013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 BRASS DR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061043",
            "telephone_number": "678-576-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 SPRING ST",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541414",
            "telephone_number": "404-881-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "NIA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "27170",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIA",
            "last_name": "SEIDU-CLARK",
            "middle_name": "I",
            "prefix": "MS.",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.