DR. ANDREW BENNETT EVANS (NPI# 1063692721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063692721 |
| Entity Type | Individual |
| Full Name | DR. ANDREW BENNETT EVANS |
| Credential | M.D. |
| Practice Address |
190 Kimel Park Dr Ste 120 Winston Salem NC 27103-6946 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3367655553 |
| Practice Fax Number | 3367655359 |
| Mailing Telephone | 3367655553 |
| Mailing Fax Number | 3367655359 |
| Enumeration Date | 2007-11-11 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2009-00162 | NC | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
2009-00162 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5916410 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1492 Rymco Dr, Winston Salem, NC 271032944 | 3367655553 | 3367655359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346802006 | Andrew Evans | Specialist/Technologist | 6526 Ido Way Ste 100, Chattanooga, TN 37421-5150 | 2019-07-02 |
| 1891358586 | Andrew A Evans | Student in an Organized Health Care Education/Training Program | 1664 N Virginia St Brigham Bldg/316, Reno, NV 89557-0001 | 2019-04-17 |
| 1518362482 | Andrew Evans | Physician Assistant | 1 Viale Ferrarin, Apo, AE 36100 | 2014-11-04 |
| 1932184538 | Andrew J Evans | Radiology | 560 1st Ave Fl 2, New York, NY 10016-6402 | 2005-12-07 |
| 1588194328 | Andrew Evans | Dentist | 611 W Park St, Urbana, IL 61801-2529 | 2017-06-14 |
| 1003265919 | Andrew Michael Evans | Physical Therapist | 13a Main St, Suite 4, Sparta, NJ 07871-1941 | 2016-06-10 |
| 1104202969 | Andrew Evans | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Medical Education, Wellington, FL 33414-6103 | 2015-08-04 |
| 1306226386 | Andrew Christian Evans | Registered Nurse | 975 Kirman Ave, Reno, NV 89502-0993 | 2015-06-04 |
| 1376982199 | Andrew Mark Evans | Podiatrist | 930 Sw Abbey St Ste B, Newport, OR 97365-4820 | 2013-06-14 |
| 1730322660 | Andrew George Evans | Pathology | 601 Elmwood Ave, Box 626, Rochester, NY 14642-0001 | 2009-04-07 |
| Street Address |
190 KIMEL PARK DR STE 120 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811957939 | Harold W. Goforth | Psychiatry & Neurology | 190 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6946 | 2006-03-24 |
| 1245526094 | Sarah B Junker | Physician Assistant | 190 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6946 | 2011-06-21 |
| 1023349404 | Novant Medical Group, Inc. | Psychiatry & Neurology | 190 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6946 | 2010-01-25 |
| 1326057928 | John Heyl Gibson | Psychiatry & Neurology | 190 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6946 | 2006-08-05 |
| 1245298249 | Lucie M. Lauve | Psychiatry & Neurology | 190 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6946 | 2006-05-02 |
| 1225096225 | Leroy D Seaux | Psychiatry & Neurology | 190 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6946 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811417835 | Arvind Muralimohan Gomadam | Psychiatry & Neurology | 1492 Rymco Dr, Winston Salem, NC 27103 | 2017-06-21 |
| 1760802474 | Michael Verenes | Psychiatry & Neurology | 2025 Frontis Plaza Blvd Ste 120, Winston Salem, NC 27103 | 2014-04-21 |
| 1245539212 | David Hosford | Psychiatry & Neurology | 200 E 1st St Ste 300, Winston Salem, NC 27101-4165 | 2011-03-16 |
| 1447334388 | Margaret Louise Craig | Psychiatry & Neurology | 1915 Cadman Forest Drive, Winston Salem, NC 27127-4684 | 2006-10-25 |
| 1841848249 | Novant Medical Group Inc | Psychiatry & Neurology | 190 Kimel Park Dr Ste 131, Winston Salem, NC 27103-6946 | 2019-08-28 |
| 1043713910 | Novant Medical Group, Inc. | Psychiatry & Neurology | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2018-03-16 |
| 1134656143 | Novant Medical Group Inc | Psychiatry & Neurology | 190 Kimel Park Dr Ste 121, Winston Salem, NC 27103-6946 | 2017-05-22 |
| 1649655028 | Devanshi Dharaiya | Psychiatry & Neurology | 3333 Silas Creek Pkwy, Winston Salem, NC 27103 | 2015-07-27 |
| 1780063958 | Novant Medical Group, Inc. | Psychiatry & Neurology | 2025 Frontis Plaza Blvd, Suite 120, Winston Salem, NC 27103-5663 | 2015-05-21 |
| 1568857480 | Tamra Ishan Jayendra Ranasinghe | Psychiatry & Neurology | Medical Center Blvd, Winston Salem, NC 27157-9180 | 2015-03-30 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.