DR. CHARLES E. EVANS III (NPI# 1326335902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326335902 |
| Entity Type | Individual |
| Full Name | DR. CHARLES E. EVANS III |
| Credential | D.O. |
| Practice Address |
971 Lakeland Dr Ste 1052 Jackson MS 39216-4609 |
| Practice Telephone | 6019819503 |
| Practice Fax Number | 6019817895 |
| Mailing Telephone | 6019819503 |
| Mailing Fax Number | 6019817895 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
22904 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | STATE MEDICAL LICENSE | 22904 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 N State St, Dept. of Medicine, Jackson, MS 392164500 | 6019845601 | 6019846665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964769 | Charles Wilson Evans | Massage Therapist | 14828 N 32nd Dr, Phoenix, AZ 85053-4703 | 2019-04-17 |
| 1679988091 | Charles Ted Evans | Specialist/Technologist | 1301 Pleasant Valley Rd # 500, Owensboro, KY 42303-9774 | 2014-06-24 |
| 1003185851 | Charles Milton Evans | Orthopaedic Surgery | 1035 Ridge Ave, Ephrata, PA 17522-8417 | 2011-12-23 |
| 1114120805 | Charles Arthur Evans | Dentist | 7 Benson Avenue, Pennsville, NJ 08070 | 2007-06-08 |
| 1649313453 | Charles L Evans | Dentist | 2140 W Saint Paul Ave Ste A, Waukesha, WI 53188-5905 | 2007-02-14 |
| 1184781197 | Charles W Evans | Respite Care | 10786 E 39th St, Yuma, AZ 85365-7047 | 2007-01-02 |
| 1578623674 | Charles Eubie Evans Jr. | Pharmacist | 141 Marginal St, Cooleemee, NC 27014 | 2006-12-11 |
| 1568410066 | Charles B Evans | Neuromusculoskeletal Medicine, Sports Medicine | 2828b Maplewood Ave, Winston Salem, NC 27103-4138 | 2006-05-05 |
| 1255334538 | Charles Alexander Evans | Family Medicine | 203 Christie St., Lufkin, TX 75904 | 2005-05-31 |
| 1578011755 | Charles Evans | Case Manager/Care Coordinator | 206 E Reynolds Dr Ste F, Ruston, LA 71270-2873 | 2016-09-15 |
| Street Address |
971 LAKELAND DR STE 1052 |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760618292 | Matthew Edward Flynn | Nurse Practitioner | 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 | 2009-06-10 |
| 1649736919 | Lea Womack | Nurse Practitioner | 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 | 2019-02-12 |
| 1194219584 | Gary Bronson Bubba Boggs | Nurse Practitioner | 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 | 2018-06-19 |
| 1174020770 | Brandon Phillip Chambers | Nurse Practitioner | 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 | 2018-04-10 |
| 1225397961 | Jordan Blake Carmean | Nurse Practitioner | 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 | 2012-05-15 |
| 1275820847 | Brandon Pierce Garriga | Internal Medicine | 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 | 2011-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760564660 | William Thomas Williams Jr. | Internal Medicine | 1200 N State St Ste 500, Jackson, MS 39202-2027 | 2006-10-19 |
| 1104877703 | Medical Specialty Clinic P.C. | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-05-16 |
| 1356392054 | George Vraney | Internal Medicine | 176 W University Pkwy, Suite C, Jackson, TN 38305-1618 | 2006-05-15 |
| 1972567683 | Robert George Monie | Internal Medicine | 100 Mission Blvd Ste 2200, Jackson, CA 95642-2536 | 2006-04-12 |
| 1922003953 | Barry Whites | Internal Medicine | 1151 N State St, Ste 617, Jackson, MS 39202-2407 | 2005-06-16 |
| 1356888218 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1578965240 | Portis Medical Solutions LLC | Internal Medicine | 1225 N State St, Jackson, MS 39202-2064 | 2014-09-24 |
| 1275820847 | Brandon Pierce Garriga | Internal Medicine | 971 Lakeland Dr Ste 1052, Jackson, MS 39216-4609 | 2011-07-05 |
| 1639478175 | Rajesh G Patel Md Pllc | Internal Medicine | 1225 N State St, Jackson, MS 39202-2064 | 2011-03-23 |
| 1790916559 | William T Williams Jr Md | Internal Medicine | 1225 N State St, Jackson, MS 39202-2064 | 2009-07-28 |
| Find all providers in JACKSON | ||||
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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.