Dr William A Evans, AGACNP-BC | |
2142 W Broad St Bldg 100 Ste 200, Athens, GA 30606-3509 | |
(706) 548-6881 | |
(706) 546-0821 |
Full Name | Dr William A Evans |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 2142 W Broad St Bldg 100 Ste 200, Athens, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568035681 | NPI | - | NPPES |
2021040471 | Other | ANCC CERTIFICATION NUMBER | |
RN275424 | Other | GA | APRN LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | RN275424 (Georgia) | Primary |
363LA2100X | Nurse Practitioner - Acute Care | RN275424 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary's Hospital | Athens, GA | Hospital |
St. Mary's Good Samaritan Hospital | Greensboro, GA | Hospital |
Ty Cobb Regional Medical Center, Llc | Lavonia, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Mary's Medical Group, Inc. | 7113098393 | 106 |
Entity Name | St. Mary's Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376711333 PECOS PAC ID: 7113098393 Enrollment ID: O20080616000388 |
Mailing Address | Practice Location Address |
---|---|
Dr William A Evans, AGACNP-BC Po Box 48089, Athens, GA 30604-8089 Ph: (706) 389-3727 | Dr William A Evans, AGACNP-BC 2142 W Broad St Bldg 100 Ste 200, Athens, GA 30606-3509 Ph: (706) 548-6881 |
Ms. Susan Gail Adams, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1905 Barnett Shoals Rd, Athens, GA 30605 Phone: 706-542-7053 | |
Ireta Favors, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Bray St, Athens, GA 30601 Phone: 678-215-4907 Fax: 678-671-8489 | |
Melissa Bienacker Baughcum, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 N Milledge Ave Ste B, Athens, GA 30601 Phone: 706-548-0008 Fax: 706-369-9673 | |
Amanda Gunter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1175 Mitchell Bridge Rd, Athens, GA 30606 Phone: 706-534-4637 | |
Lauren Gruendling, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700 | |
Cheryl Y Reed, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2142 W Broad St Bldg 100 Ste 200, Athens, GA 30606 Phone: 706-548-6881 Fax: 706-546-0821 | |
Melisa Ann Suggs, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 North Ave, Athens, GA 30601 Phone: 706-613-6976 |