DEBORAH EVANS (NPI# 1881776607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881776607 |
| Entity Type | Individual |
| Full Name | DEBORAH EVANS |
| Credential | PA-C |
| Practice Address |
2400 Mt. Zion Parkway Kaiser Permanente Southwood Medical Center Jonesboro GA 30236 |
| Mailing Address |
3495 Piedmont Road, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 4048518000 |
| Mailing Telephone | 4045045678 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2017-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 002111 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
002111 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100001096A | 05 | |
| GA | 100001096 | 05 | |
| GA | AMERIGROUP | 01067986 | 01 |
| GA | 100001096B | 05 | |
| GA | WELLCARE | 333478 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144872672 | Deborah Lynne Evans | Physical Therapist | 4035 Arbor Cv, Olive Branch, MS 38654-8586 | 2019-07-15 |
| 1891103073 | Deborah Evans | Nurse Practitioner | 5 Saint Vincent Cir Ste 500, Little Rock, AR 72205-5412 | 2014-07-31 |
| 1366532558 | Deborah Jane Evans | Psychologist | 3325 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2006-10-16 |
| 1205488897 | Deborah Evans | Technician | 1005 Terminal Way Ste 125, Reno, NV 89502-2198 | 2019-07-12 |
| 1235637844 | Deborah Ann Evans | Pharmacist | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2018-01-29 |
| 1275937914 | Deborah Lynn Evans | Physical Therapist | 1500 W Jefferson St, Springfield, OH 45506-1224 | 2014-10-09 |
| 1558600304 | Deborah Dawson Evans | Speech-Language Pathologist | 1000 Old Main Hl, Usu, Logan, UT 84322-1000 | 2013-02-13 |
| 1255572020 | Deborah Ann Evans | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2009-03-09 |
| 1124274170 | Deborah Renee' Evans | Counselor | 35 K St Ne, Washington, DC 20002-4216 | 2008-08-11 |
| 1457427833 | Deborah K. Evans | Social Worker | 14900 Bogle Dr, Ste 200, Chantilly, VA 20151-1756 | 2006-11-28 |
| Street Address |
2400 MT. ZION PARKWAY KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508866153 | Jodi Bayley Baptiste | Family Medicine | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2005-07-26 |
| 1013450816 | Dorothy Delisfort-crisostomo | Nurse Practitioner | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehension Medical Offic, Jonesboro, GA 30236 | 2016-11-28 |
| 1639590136 | Ashley Christine Ziobrowski | Nurse Practitioner | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2013-12-31 |
| 1730520321 | Nash Ditmetaroj | Optometrist | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2013-07-10 |
| 1770927402 | Labrittany R Davis-farve | Nurse Practitioner | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2013-04-24 |
| 1477896645 | Fofie S Akoto | Internal Medicine | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2013-04-05 |
| 1265773584 | Karen Kelly Willard | Nurse Practitioner | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2013-03-12 |
| 1114264652 | Jaclyn Marie Schwartz | Podiatrist | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2013-01-03 |
| 1801144605 | Dorie Angela Saxon | Pediatrics | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2012-08-28 |
| 1689937880 | Meena Yasmeen | Family Medicine | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2012-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| 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 |
|---|---|---|---|---|
| 1487944583 | Crystal G Watson | Physician Assistant | 3100 Apache, Ste. A, Jonesboro, AR 72401-3125 | 2011-04-11 |
| 1932740339 | Taylor Paige Barton | Physician Assistant | 1416 E Matthews Ave Ste 200, Jonesboro, AR 72401-4362 | 2019-10-07 |
| 1376002766 | Arielle Nast | Physician Assistant | 1416 E Matthews Ave Ste 200, Jonesboro, AR 72401-4362 | 2019-03-15 |
| 1184189219 | Callie Graves | Physician Assistant | 1003 Windover Rd, Jonesboro, AR 72401-6007 | 2019-02-03 |
| 1801350285 | Brandy N Herrington | Physician Assistant | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2019-01-30 |
| 1093244220 | Megan Deanne Griffin | Physician Assistant | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2017-06-10 |
| 1053843631 | Mary R Hobbs | Physician Assistant | 1416 E Matthews Ave, Jonesboro, AR 72401-4362 | 2017-04-01 |
| 1821536772 | Danielle Bruggemann | Physician Assistant | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2017-02-10 |
| 1497103626 | Aaron Hathcock | Physician Assistant | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2016-05-27 |
| 1225498074 | Callie Poole | Physician Assistant | 300 Carson St, Jonesboro, AR 72401-3104 | 2016-03-07 |
| Find all providers in JONESBORO | ||||
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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.