CHARLES T EVANS (NPI# 1558389171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558389171 |
| Entity Type | Individual |
| Full Name | CHARLES T EVANS |
| Credential | MD |
| Practice Address |
1133 Eagles Landing Pkwy Stockbridge GA 30281-5085 |
| Mailing Address |
235 Peachtree St., Ne North Tower, Suite 2100 Atlanta GA 30303-1405 |
| Practice Telephone | 7709949326 |
| Practice Fax Number | 7709944747 |
| Mailing Telephone | 7709949326 |
| Mailing Fax Number | 7709944747 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
47739 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964769 | Charles Wilson Evans | Massage Therapist | 14828 N 32nd Dr, Phoenix, AZ 85053-4703 | 2019-04-17 |
| 1679988091 | Charles Ted Evans | Specialist/Technologist | 1301 Pleasant Valley Rd # 500, Owensboro, KY 42303-9774 | 2014-06-24 |
| 1003185851 | Charles Milton Evans | Orthopaedic Surgery | 1035 Ridge Ave, Ephrata, PA 17522-8417 | 2011-12-23 |
| 1114120805 | Charles Arthur Evans | Dentist | 7 Benson Avenue, Pennsville, NJ 08070 | 2007-06-08 |
| 1649313453 | Charles L Evans | Dentist | 2140 W Saint Paul Ave Ste A, Waukesha, WI 53188-5905 | 2007-02-14 |
| 1184781197 | Charles W Evans | Respite Care | 10786 E 39th St, Yuma, AZ 85365-7047 | 2007-01-02 |
| 1578623674 | Charles Eubie Evans Jr. | Pharmacist | 141 Marginal St, Cooleemee, NC 27014 | 2006-12-11 |
| 1568410066 | Charles B Evans | Neuromusculoskeletal Medicine, Sports Medicine | 2828b Maplewood Ave, Winston Salem, NC 27103-4138 | 2006-05-05 |
| 1255334538 | Charles Alexander Evans | Family Medicine | 203 Christie St., Lufkin, TX 75904 | 2005-05-31 |
| 1578011755 | Charles Evans | Case Manager/Care Coordinator | 206 E Reynolds Dr Ste F, Ruston, LA 71270-2873 | 2016-09-15 |
| Street Address |
1133 EAGLES LANDING PKWY |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-5085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407842545 | Rhonda Carolyn Bloschock | Nurse Anesthetist, Certified Registered | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2005-09-23 |
| 1588279772 | Diagnostic Pathology Associates PC | Pathology | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2020-09-14 |
| 1619594843 | Rowena Zheng | Physical Therapist | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2020-07-03 |
| 1497380539 | Tomoyo Kuriyama | Nurse Practitioner | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2020-03-09 |
| 1740827971 | Echiline Francois | Nurse Practitioner | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-12-06 |
| 1639726441 | Jessica Ramey | Anesthesiologist Assistant | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-08-26 |
| 1295382802 | Briana Nicole Tate-york | Anesthesiologist Assistant | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-08-20 |
| 1619520293 | Wendy March Greenway | Nurse Practitioner | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-07-22 |
| 1528526548 | Kisha Meshun Smith | Registered Nurse | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-03-08 |
| 1356807895 | Shellie Nicole Welch | Registered Nurse | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2019-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376618926 | Jorge Mujica | Emergency Medicine | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2006-11-21 |
| 1740376243 | Robert Wilson | Emergency Medicine | 1133 Eagles Landing Parkway, Stockbridge, GA 30281 | 2006-10-04 |
| 1225136641 | Okiki Louis | Emergency Medicine | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2006-09-20 |
| 1780782151 | Jennifer Maddox | Emergency Medicine | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2006-09-20 |
| 1447297072 | James B Barlow | Emergency Medicine | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2006-06-01 |
| 1255381885 | Hesiri M Fernando | Emergency Medicine | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675956 | Nextgen Ems LLC | Emergency Medicine | 121 Tyre Dr, Mcdonough, GA 30253-8542 | 2020-09-29 |
| 1710506233 | Rita Udom | Emergency Medicine | 2795 Davis Rd, Marietta, GA 30062-6670 | 2020-04-14 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1831539253 | Andrew Wesley White | Emergency Medicine | 1120 15th St # Af1006, Augusta, GA 30912-4500 | 2013-06-29 |
| 1013141118 | Darren Deandre Naugles | Emergency Medicine | 8920 Firestone Cir, Duluth, GA 30097-6627 | 2009-05-05 |
| 1437393667 | Donald R. Dalbey | Emergency Medicine | 3725 Sweetwater Drive, Cumming, GA 30041 | 2009-05-01 |
| 1346411667 | Harvey E Schuck | Emergency Medicine | 427 Brentwood Dr Ne, Atlanta, GA 30305-3204 | 2008-03-14 |
| 1639364011 | Srihari Rao Malempati | Emergency Medicine | 535 Trimble Lake Ct Ne, Atlanta, GA 30342-2481 | 2007-09-10 |
| 1306060264 | Gary L Godlewski | Emergency Medicine | 4755 Wesleyan Woods Dr, Macon, GA 31210-4410 | 2007-04-12 |
| 1710030002 | Robert Lee Carlson Jr. | Emergency Medicine | 3900 Legacy Park Blvd Nw, Suite C-100, Kennesaw, GA 30144-7412 | 2007-01-19 |
| Find all providers with the same taxonomy | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
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| 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.