Dr John Ellis Evans, MD is a
Family Medicine physician based in Fayette, Mississippi. Dr John Ellis Evans is licensed to practice in Mississippi (license number 05736) and his current practice location is 456 River Road, Fayette, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 786-0443.
NPI number for Dr John Ellis Evans is 1265752356 and his current mailing address is 404 Jennings St, Sumner, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265752356.
Physician's Profile
Full Name | Dr John Ellis Evans |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 456 River Road, Fayette, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265752356
- Provider Enumeration Date: 06/11/2010
- Last Update Date: 06/11/2010
Medical Identifiers
Medical identifiers for Dr John Ellis Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265752356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 05736 (Mississippi) | Primary |
207X00000X | Orthopaedic Surgery | 05736 (Mississippi) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Ellis Evans is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr John Ellis Evans, MD 404 Jennings St, Sumner, MS 38957-9720 Ph: (321) 720-0574 | Dr John Ellis Evans, MD 456 River Road, Fayette, MS 39069 Ph: (601) 786-0443 |
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