SHANNON EVANS (NPI# 1851477574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851477574 |
| Entity Type | Individual |
| Full Name | SHANNON EVANS |
| Credential | P.A. |
| Practice Address |
501 S Poplar St Elizabethtown NC 28337-9375 |
| Mailing Address |
Po Box 398 Elizabethtown NC 28337-0398 |
| Practice Telephone | 9108625100 |
| Practice Fax Number | 9108621238 |
| Mailing Telephone | 9108625100 |
| Mailing Fax Number | 9108621238 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 100592 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | STATE LICENSE NC | 100592 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689187635 | Shannon Nicole Evans | Student in an Organized Health Care Education/Training Program | 9 Brentwood Dr, Jackson, NJ 08527-3417 | 2017-11-13 |
| 1477984599 | Shannon Evans | Social Worker | 78 Salvatore Ct, Elmwood Park, NJ 07407-2436 | 2013-11-30 |
| 1316374655 | Shannon Michelle Evans | Midwife | 1581 Nw 98th Ave, Pembroke Pines, FL 33024-4331 | 2013-10-01 |
| 1003071804 | Shannon D Evans | Family Medicine | 4745 Boardwalk Drive Unit C3, Fort Collins, CO 80525 | 2008-07-22 |
| 1467906578 | Shannon Marie Evans | Physical Therapist | 3767 Delaware Ave, Kenmore, NY 14217-1040 | 2016-08-05 |
| 1649723149 | Shannon Evans | Occupational Therapist | 620 8th Ave, Terre Haute, IN 47804-2744 | 2016-08-01 |
| 1407208242 | Shannon Marie Evans | Nurse Practitioner | 1823 E 7th St, Austin, TX 78702-2713 | 2016-07-05 |
| 1760858351 | Shannon Evans | Speech-Language Pathologist | 2560 Montessouri St, Suite 113, Las Vegas, NV 89117-3061 | 2015-08-18 |
| 1205184488 | Shannon Marie Evans | Optometrist | 1711 Ne 163rd St, North Miami Beach, FL 33162-4732 | 2012-08-21 |
| 1487953675 | Shannon Kelly Evans | Pediatrics | 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 | 2011-03-28 |
| Street Address |
501 S POPLAR ST |
| City | ELIZABETHTOWN |
| State | NC |
| Zip Code | 28337-9375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598795502 | Bladen County Hospital | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-04 |
| 1942672845 | Paisley Emergency Physicians, LLC | Physician Assistant | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2015-10-30 |
| 1689018756 | Bladen Healthcare, LLC | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2013-04-19 |
| 1306130695 | North Carolina Em-1 Medical Services, PC | Nurse Practitioner | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2011-06-03 |
| 1255624706 | Elwell Ferry Inpatient Services | Emergency Medicine | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2011-05-17 |
| 1194053629 | First Flight Emergency Physicians LLC | Emergency Medicine | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2009-11-20 |
| 1811163397 | Bladen Healthcare, LLC | Nurse Anesthetist, Certified Registered | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1205002789 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1841466323 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1750557237 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1649826447 | Donna Marie Gray | Technician | 1797 Mercer Mill Rd, Elizabethtown, NC 28337 | 2019-08-16 |
| 1053972877 | Professional Eye Care Optometry, Pa | Optometrist | 432 W Broad St, Elizabethtown, NC 28337 | 2019-06-24 |
| 1255896015 | Andersons Drug Store LLC | Durable Medical Equipment & Medical Supplies | 206 S. Poplar St., Elizabethtown, NC 28337 | 2019-02-06 |
| 1336618602 | Genese Anderson Peed | Pharmacist | 206 South Poplar, Elizabethtown, NC 28337 | 2018-11-16 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1821586918 | Coastal Horizons Center Inc. | Community/Behavioral Health | Coastal Horizons Center, Inc. - Bladen Day Treatment, 1496 Hwy 701 S., Elizabethtown, NC 28337 | 2018-04-25 |
| 1205353117 | Brianna Stalnaker | Pharmacist | 371 S Poplar St, Elizabethtown, NC 28337 | 2017-08-23 |
| 1982124681 | Justin M Degarmo Dmd & Ann Hamill Greene Dds Pa | Dentist | 401 Doctors Drive, Elizabethtown, NC 28337 | 2017-06-23 |
| 1336676121 | Megan Mcwhorter | Physical Therapy Assistant | 804 South Poplar Street, Elizabethtown, NC 28337 | 2017-05-11 |
| Find all providers in zip 28337 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821514944 | Thomas Caleb Watts | Physician Assistant | 1310 Woodland Dr, Elizabethtown, KY 42701-2651 | 2017-08-21 |
| 1992037709 | Pack Family Medicine, Pllc | Physician Assistant | 212 S Pine St, Elizabethtown, NC 28337-9163 | 2010-02-03 |
| 1992940233 | Jamie Lynn Hammond | Physician Assistant | 300a Mckay St, Elizabethtown, NC 28337-9037 | 2008-12-15 |
| 1518111509 | Todd Michael Rowe | Physician Assistant | 1414 Amandajo Dr, Elizabethtown, KY 42701-4639 | 2008-11-04 |
| 1427152438 | Lyn A Govette | Physician Assistant | 426 East G St, Elizabethtown, TN 37643 | 2006-09-11 |
| 1154303675 | Brandon Chase Wampler | Physician Assistant | 2412 Ring Rd Ste 200, Elizabethtown, KY 42701-5913 | 2005-11-18 |
| 1447250584 | Chanty Lynn Headspeth | Physician Assistant | 906 Woodland Dr, Ste 102, Elizabethtown, KY 42701-2752 | 2005-07-29 |
| 1124028246 | Carla Renee Fray | Physician Assistant | 101 Financial Pl Ste 104, Elizabethtown, KY 42701-8481 | 2005-07-29 |
| 1225038086 | Kelly R Richardson | Physician Assistant | 914 N Dixie Ave, Suite 304, Elizabethtown, KY 42701-2520 | 2005-07-22 |
| 1548872583 | Zachary David Martin | Physician Assistant | 1 Continental Dr, Elizabethtown, PA 17022-2231 | 2020-08-20 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 28337 |
Please comment or provide details below to improve the information on SHANNON 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.