| Evans Family Medicine | |
|
105 Collier Rd Nw Ste 1000 Atlanta GA 30309-1730 | |
| (404) 596-1218 | |
| (855) 594-2307 |
| Full Name | Evans Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 105 Collier Rd Nw Ste 1000, Atlanta, Georgia |
| Authorized Official Name and Position | Michelle Evans (CEO) |
| Authorized Official Contact | 7707577832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evans Family Medicine 105 Collier Rd Nw Ste 1000 Atlanta GA 30309-1730 Ph: (404) 596-1218 | Evans Family Medicine 105 Collier Rd Nw Ste 1000 Atlanta GA 30309-1730 Ph: (404) 596-1218 |
| NPI Number | 1285113415 |
|---|---|
| Provider Enumeration Date | 08/08/2018 |
| Last Update Date | 09/14/2021 |
| Medicare PECOS PAC ID | 1658795638 |
|---|---|
| Medicare Enrollment ID | O20200723001070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285113415 | NPI | - | NPPES |
| 1245249333 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 052171 (Georgia) | Primary |
| Provider Name | Michelle Y Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245249333 PECOS PAC ID: 9931011665 Enrollment ID: I20031103000143 |
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