EVANS URGENT CARE (NPI# 1306987235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306987235 |
| Entity Type | Organization |
| Organization Name | EVANS URGENT CARE |
| Practice Address |
800 Oakhurst Dr Evans GA 30809-3650 |
| Mailing Address |
Po Box 2628 Evans GA 30809-2628 |
| Practice Telephone | 7063645500 |
| Practice Fax Number | 7063646863 |
| Mailing Telephone | 7063645500 |
| Mailing Fax Number | 7063646863 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRETT WALLENTINE (OWNER) |
| Authorized Official Telephone | 7063645500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 046334 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
800 OAKHURST DR |
| City | EVANS |
| State | GA |
| Zip Code | 30809-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861534000 | Purvi K Shah | Physician Assistant | 800 Oakhurst Dr, Evans, GA 30809-3650 | 2007-02-13 |
| 1922149848 | Brett Wallentine | Family Medicine | 800 Oakhurst Dr, Evans, GA 30809-3650 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699330985 | Southern Weight Loss Clinic, LLC | Family Medicine | 628 Mullins Colony Dr, Evans, GA 30809-0579 | 2019-05-02 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1215279849 | John William Richards Jr. | Family Medicine | 3914 Mullikin Rd, Evans, GA 30809-4800 | 2013-03-21 |
| 1639480684 | Fanta Elizabeth Kasiah | Family Medicine | 104 N Belair Rd, Suite 101, Evans, GA 30809-6503 | 2010-06-24 |
| 1376771899 | Christa Marie Pepitone | Family Medicine | 618 Ponder Place Dr, Suite 2, Evans, GA 30809-3117 | 2009-06-23 |
| 1245475771 | Med Now Urgent Care, LLC | Family Medicine | 104 N Belair Rd Suite 101, Evans, GA 30809 | 2008-12-12 |
| 1194944033 | Dorthe Rauholt Peloquin | Family Medicine | 4344 Hardy Mcmanus Rd, Evans, GA 30809-5016 | 2007-04-25 |
| 1568681286 | Ruth Schwenzfeier George | Family Medicine | 607 Ronald Reagan Dr, Evans, GA 30809-7601 | 2007-04-24 |
| 1548398555 | Mark Everett Wittmer | Family Medicine | 104 N Belair Rd Ste 101, Evans, GA 30809-6502 | 2007-03-01 |
| 1851456776 | Meenu G Singhal | Family Medicine | 363 N Belair Road, Evans, GA 30809 | 2006-12-22 |
| Find all providers in EVANS | ||||
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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.