JOSEPH BRET EVANS (NPI# 1700353547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700353547 |
| Entity Type | Individual |
| Full Name | JOSEPH BRET EVANS |
| Practice Address |
410 Connell Rd Valdosta GA 31602-1898 |
| Practice Telephone | 2292444720 |
| Mailing Telephone | 2292444720 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN233841 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DRIVERS LICENSE | 051405457 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699031070 | Joseph Tyrone Evans | Specialist | 101 W 128th St, 2c, New York, NY 10027-3003 | 2012-04-10 |
| 1467587279 | Joseph E Evans | Dentist | 1129 C West Kansas, Liberty, MO 64068 | 2007-02-22 |
| 1235212432 | Joseph Evans | Psychologist | 985450 Nebraska Medical Ctr, Omaha, NE 68198-5450 | 2006-10-23 |
| 1063527471 | Joseph Mark Evans | Surgery | 11311 Bridgeport Way Sw Ste 205, Lakewood, WA 98499-3051 | 2006-08-19 |
| 1619967551 | Joseph Evans | Dentist | 2206 Spedale Ct, Suite 6, Spring Hill, TN 37174-6137 | 2005-10-23 |
| 1154971760 | Joseph Evans | Behavior Technician | 119 Wind Chime Ct Ste 4, Raleigh, NC 27615-6433 | 2019-09-16 |
| 1568936615 | Joseph Daniel Evans | Speech-Language Pathologist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2019-01-11 |
| 1447769922 | Joseph Evans | Case Manager/Care Coordinator | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2017-09-27 |
| 1912438508 | Joseph Roger Evans Jr. | Community Health Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2017-03-24 |
| 1508214735 | Joseph Evans | Counselor | 610 Yakima Ave, Tacoma, WA 98405-4851 | 2016-05-27 |
| Street Address |
410 CONNELL RD |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174507628 | Laboratory Corporation of America | Clinical Medical Laboratory | 410 Connell Rd, Suite C, Valdosta, GA 31602-0000 | 2005-11-29 |
| 1316421258 | Drimalyn Burgman | Nurse Practitioner | 410 Connell Rd, Valdosta, GA 31602-1898 | 2018-09-17 |
| 1629457205 | Eric J. Thomas | Podiatrist | 410 Connell Rd, Suite E, Valdosta, GA 31602-1898 | 2015-05-28 |
| 1003087024 | Joseph S Thomas M D | Internal Medicine | 410 Connell Rd, Ste T, Valdosta, GA 31602-1407 | 2008-03-18 |
| 1326250036 | William Douglas Luke Jr. | Internal Medicine | 410 Connell Rd, Valdosta, GA 31602-1898 | 2007-05-04 |
| 1154446862 | Kathryn C Watt | Nurse Practitioner | 410 Connell Rd, Valdosta, GA 31602-1407 | 2007-03-20 |
| 1437258506 | Joseph Stuart Thomas | Internal Medicine | 410 Connell Rd, Suite T, Valdosta, GA 31602-1407 | 2006-09-22 |
| 1255369435 | Milledge C Newton Jr. | Internal Medicine | 410 Connell Rd, Valdosta, GA 31602-1407 | 2006-06-28 |
| 1699703041 | Eric M Ward | Internal Medicine | 410 Connell Rd, Valdosta, GA 31602-1407 | 2006-06-28 |
| 1497782817 | Gregory S Beale | Internal Medicine | 410 Connell Rd, Valdosta, GA 31602-1407 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285101964 | Anne Marie Diaz | Nurse Practitioner | 410 Connell Road Suite T, Valdosta, GA 31602-3160 | 2018-10-31 |
| 1437648235 | Whitney Renee Apperson | Nurse Practitioner | 2418 N Oak St Ste G, Valdosta, GA 31602-2575 | 2018-05-07 |
| 1366991374 | Melissa Kelly Milicevic | Nurse Practitioner | 304 Janet St Ste B, Valdosta, GA 31602-2643 | 2016-10-03 |
| 1184805400 | Pamela W Powell | Nurse Practitioner | 4711 Woodland Pt, Valdosta, GA 31602-0823 | 2007-11-15 |
| 1346326048 | Gina S Dungan | Nurse Practitioner | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1356318265 | Thomas Alexandeer Mackean | Nurse Practitioner | 704 Gil Harbin Industrial Blvd, Valdosta, GA 31601-6513 | 2006-03-01 |
| 1487260949 | Joshua Caleb Vining | Nurse Practitioner | 3200 N Ashley St Ste C, Valdosta, GA 31602-5911 | 2020-09-21 |
| 1164081311 | Mary Deason Perritt | Nurse Practitioner | 2700 N Oak St Bldg B, Valdosta, GA 31602-5903 | 2019-06-11 |
| 1689130312 | Kala Jo Bugg | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2019-02-19 |
| 1104382092 | Meredith Emily Decesare | Nurse Practitioner | 2263 Pineview Dr, Valdosta, GA 31602-7316 | 2019-02-15 |
| Find all providers in VALDOSTA | ||||
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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.