MARCUS CHRISTOPHER EVANS (NPI# 1831310861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831310861 |
| Entity Type | Individual |
| Full Name | MARCUS CHRISTOPHER EVANS |
| Credential | MD |
| Practice Address |
770 Pine St Ste 290 Attn: Radiology Department Macon GA 31201-7516 |
| Practice Telephone | 4787431458 |
| Practice Fax Number | 4787551332 |
| Mailing Telephone | 4787431458 |
| Mailing Fax Number | 4787551332 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
64536 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 168151857B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922641299 | Marcus Evans | Nurse Practitioner | 703 S Fleishel Ave, Tyler, TX 75701-2015 | 2019-10-19 |
| Street Address |
770 PINE ST STE 290 ATTN: RADIOLOGY DEPARTMENT |
| City | MACON |
| State | GA |
| Zip Code | 31201-7516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326043688 | Arthur Hamilton Mccain | Radiology | 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 | 2005-06-14 |
| 1790992956 | Tatyana Boreslavovna Sklyarevskaya | Radiology | 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 | 2007-05-17 |
| 1972723054 | Jason Scott Stephens | Radiology | 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 | 2007-04-30 |
| 1669443719 | Christopher Erin Minette | Radiology | 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 | 2006-01-27 |
| 1568442887 | Garry Harold Simons IIi | Radiology | 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 | 2006-01-20 |
| 1902888969 | Loy Daniel Strawn | Radiology | 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 | 2005-11-16 |
| 1922080985 | Bert Richard Lennington | Radiology | 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 | 2005-11-16 |
| 1942281076 | Mark Earl Grossnickle | Radiology | 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 | 2005-11-07 |
| 1679563035 | Radiology Associates of Macon PC | Radiology | 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 | 2005-10-26 |
| 1285624692 | Charles Dennis Kellum | Radiology | 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 | 2005-10-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134101199 | Mark Edward Barrow | Radiology | 770 Pine Street, Suite 290, Macon, GA 31201-7516 | 2005-11-16 |
| 1114908522 | Central Georgia Mri LLC | Radiology | 770 Pine St Ste L15, Attn: Radiology Department, Macon, GA 31201-7519 | 2005-11-11 |
| 1609857317 | Northwest Diagnostic Imaging, Inc | Radiology | 2140 Riverside Dr, Macon, GA 31204-1747 | 2005-11-09 |
| 1437149762 | Central Georgia Pet LLC | Radiology | 1650 Hardeman Ave, Attn: Radiology Department, Macon, GA 31201-1418 | 2005-10-27 |
| 1326043688 | Arthur Hamilton Mccain | Radiology | 770 Pine St Ste 290, Attn: Radiology Department, Macon, GA 31201-7516 | 2005-06-14 |
| 1235423047 | Burton D Goodwin Jr. | Radiology | 770 Pine St, Suite 290, Macon, GA 31201-2173 | 2011-06-09 |
| 1831495696 | Annie Lee Williams | Radiology | 770 Pine St, Suite 290, Macon, GA 31201-2173 | 2011-01-26 |
| 1982922365 | Joshua Benjamin Cooper | Radiology | 770 Pine St, Suite 290, Macon, GA 31201-2173 | 2010-05-11 |
| 1609009760 | Open Mri of Georgia, Inc | Radiology | 2140 Riverside Dr, Macon, GA 31204-1747 | 2009-08-24 |
| 1194984583 | Alan D Kirsh | Radiology | 770 Pine St, Suite 290, Macon, GA 31201-2173 | 2008-06-02 |
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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.