JESS G. EVANS (NPI# 1336549971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336549971 |
| Entity Type | Individual |
| Full Name | JESS G. EVANS |
| Credential | PH.D |
| Practice Address |
1701 Century Center Cv Memphis TN 38134-8975 |
| Practice Telephone | 9014328605 |
| Practice Fax Number | 9018448668 |
| Mailing Telephone | 9014328605 |
| Mailing Fax Number | 9018448668 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
ML0000023356 | TN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1701 CENTURY CENTER CV |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38134-8975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548370745 | Memphis Pathology Laboratory | Clinical Medical Laboratory | 1701 Century Center Cv, Memphis, TN 38134-8975 | 2006-08-30 |
| 1750828844 | Bmhsi/ael Microbiology Laboratory, Gp | Clinical Medical Laboratory | 1701 Century Center Cv, Suite 200, Memphis, TN 38134-8975 | 2017-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164608857 | Kenneth E Ferslew | Pathology | Building 6, Magnolia and Fifth, Mountain Home, TN 37684-0699 | 2008-01-14 |
| 1427525567 | Shelia P Dawling | Pathology | 515 Great Circle Rd, Nashville, TN 37228-1310 | 2018-10-26 |
| 1740772839 | Matthew T Hardison | Pathology | 515 Great Circle Rd, Nashville, TN 37228-1310 | 2018-06-04 |
| 1093202137 | Mdconnect Healthcare Corporation | Pathology | 1612 Downtown West Blvd, Knoxville, TN 37919-5408 | 2018-04-14 |
| 1164858924 | Carol Sommerfelt | Pathology | 11126 Kingston Pike, Knoxville, TN 37934-2806 | 2013-09-24 |
| 1043550957 | Ryan B Paulsen | Pathology | 515 Great Circle Rd, Nashville, TN 37228-1310 | 2013-03-01 |
| 1487810453 | Timothy A Robert | Pathology | 515 Great Circle Rd, Nashville, TN 37228-1310 | 2008-07-30 |
| 1831373414 | Donald Ferguson Jr. | Pathology | 325 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2007-12-19 |
| 1376727958 | Jack Rary | Pathology | 325 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2007-12-19 |
Please comment or provide details below to improve the information on JESS G. EVANS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.