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MR. EVAN GILCHRIST NP-C
NPI 1053981704
Nurse Practitioner in Decatur, GA

Active since June 25, 2021PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
2701 N DECATUR RD FL SUITE520, DECATUR, GA 30033(404) 501-1000 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2023, Jul 26, 2021, Jun 25, 2021 (3 updates tracked since 2021).

About Mr. Evan Gilchrist Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EVAN GILCHRIST NP-C (NPI 1053981704) is an individual nurse practitioner in Decatur, Georgia, licensed in Georgia (RN254199) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053981704
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. EVAN GILCHRISTCredential: NP-C
Location Address2701 N DECATUR RD FL SUITE520Decatur, GA 30033-5918
Mailing Address133 Radford Cir SwMarietta, GA 30060-6373 · (678) 982-0309
Phone(404) 501-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 25, 2021
Last NPPES UpdateOctober 5, 20233 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1053981704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN254199
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2701 N DECATUR RD FL SUITE520, Decatur, GA 30033
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Evan Gilchrist Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456757392
PECOS Enrollment IDI20210901001835
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Evan Gilchrist reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America LLC
Same address
Emergency Medicine
2701 N DECATUR RD
Decatur, GA 30033
  • Reassigned Medicare billing, Georgia enrollment
  • 128 clinicians in this Medicare group
NPI 1215982814 (404) 501-1849
Fusion Sleep LLC
17 mi
Sleep Disorder Diagnostic
3650 MANSELL RD STE 100
Alpharetta, GA 30022
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
NPI 1245271113 (678) 990-3962
Fusion Sleep Medical LLC
17 mi
Sleep Disorder Diagnostic
3650 MANSELL RD STE 100
Alpharetta, GA 30022
  • Reassigned Medicare billing, Georgia enrollment
  • 12 clinicians in this Medicare group
NPI 1467699611 (678) 990-3962

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
118 services88 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
45 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Gilchrist's NPI number?

The NPI number for Evan Gilchrist is 1053981704. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Evan Gilchrist located?

Evan Gilchrist practices at 2701 N Decatur Rd Fl Suite520, Decatur, GA 30033. The listed phone number is (404) 501-1000.

What is Evan Gilchrist's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Evan Gilchrist enrolled in Medicare?

Yes. Evan Gilchrist is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Evan Gilchrist's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Gilchrist reassigns Medicare benefits to 3 organizations: Cep America LLC (Decatur, GA), Fusion Sleep LLC (Alpharetta, GA) and Fusion Sleep Medical LLC (Alpharetta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evan Gilchrist's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Gilchrist accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Evan Gilchrist as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evan Gilchrist was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.