DR. WILLIAM A EVANS AGACNP-BC NPI 1568035681

NPI Information

NPI: 1568035681
Provider Name: DR. WILLIAM A EVANS, AGACNP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2142 W BROAD ST BLDG 100 STE 200
ATHENS, GA
ZIP 30606
Phone: (706) 548-6881
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DR. William A Evans, AGACNP-BC is an adult health nurse practitioner in Athens, GA with 3 years of experience. DR. William A Evans, AGACNP-BC NPI is 1568035681. 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:

2142 W BROAD ST BLDG 100 STE 200
ATHENS, GA
ZIP 30606-509
Phone: (706) 548-6881
Fax: (706) 546-0821

The NPI 1568035681 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 enumeration date for this NPI number is 7/19/2021 and was last updated on 1/15/2024.

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
1	363LA2200X	Nurse Practitioner	Adult Health	RN275424	GEORGIA	Yes
2	363LA2100X	Nurse Practitioner	Acute Care	RN275424	GEORGIA	No

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
1	2021040471	OTHER		ANCC CERTIFICATION NUMBER
2	RN275424	OTHER	GEORGIA	APRN LICENSE NUMBER

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

NPI Synchronization or Removal

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