Provider Type Icon

DR. CHARLES ALEXANDER EVANS M. D. NPI 1255334538


NPI Information

NPI: 1255334538
Provider Name: DR. CHARLES ALEXANDER EVANS, M. D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 45D1051515

Address:
203 CHRISTIE ST.
LUFKIN, TX
ZIP 75904
Phone: (936) 699-5433
Get Directions

DR. Charles Alexander Evans, M. D. is a family medicine in Lufkin, TX with 40 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Charles Alexander Evans, M. D. NPI is 1255334538. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

203 CHRISTIE ST.
LUFKIN, TX
ZIP 75904
Phone: (936) 699-5433
Fax: (936) 699-5465

The NPI 1255334538 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 45D1051515 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 9/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineJ3094TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DE7007MEDICARE ID-TYPE UNSPECIFIEDTEXASRR MEDICARE GROUP ID#
2123490806MEDICAIDTEXAS
3179637701MEDICAIDTEXAS
4BCBSOTHERTEXAS0066MT
58F2949MEDICARE ID-TYPE UNSPECIFIEDTEXASMCARE INDIVIDUAL PROV #
6P00310208MEDICARE ID-TYPE UNSPECIFIEDTEXASRR MEDICARE INDIV PROV#
7J3094OTHERTEXASSTATE MEDICAL LICENSE
8F48241MEDICARE UPINTEXAS
900W502MEDICARE ID-TYPE UNSPECIFIEDTEXASMCARE GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.