| Evolve Managed Care Solutions | |
|
519 Blackburn Dr Ste 523 Augusta GA 30907-8202 | |
| (912) 297-0066 | |
| Not Available |
| Full Name | Evolve Managed Care Solutions |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 519 Blackburn Dr Ste 523, Augusta, Georgia |
| Authorized Official Name and Position | Lisa W Mcfann (COO) |
| Authorized Official Contact | 9122970066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Managed Care Solutions 519 Blackburn Dr Ste 523 Augusta GA 30907-8202 Ph: (912) 297-0066 | Evolve Managed Care Solutions 519 Blackburn Dr Ste 523 Augusta GA 30907-8202 Ph: (912) 297-0066 |
| NPI Number | 1336843499 |
|---|---|
| Provider Enumeration Date | 03/30/2023 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 6002274255 |
|---|---|
| Medicare Enrollment ID | O20230620001979 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336843499 | NPI | - | NPPES |
| Provider Name | Kalvin Kapoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861829392 PECOS PAC ID: 2163788902 Enrollment ID: I20220620000620 |
| Provider Name | Tammy D Maddox Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588029763 PECOS PAC ID: 7113328923 Enrollment ID: I20240220000382 |
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