DR. EVAN LEE UNDERWOOD M.D.
NPI 1205148459
Family Medicine in Mount Olive, MS
About Dr. Evan Lee Underwood M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EVAN LEE UNDERWOOD M.D. (NPI 1205148459) is an individual family medicine provider in Mount Olive, Mississippi, licensed in Texas (P8742) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Northwest Missississippi Regional Medical Center, and is a graduate of University Of Mississippi School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Dr. Evan Lee Underwood M.d. 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.
Medicare Billing Reassignments
13Medicare enrollment records show Evan Underwood reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Prentiss, MS 39474
- Reassigned Medicare billing, Mississippi enrollment
- 58 clinicians in this Medicare group
Prentiss, MS 39474
- Reassigned Medicare billing, Mississippi enrollment
- 58 clinicians in this Medicare group
Columbia, MS 39429
- Reassigned Medicare billing, Mississippi enrollment
- 81 clinicians in this Medicare group
Columbia, MS 39429
- Reassigned Medicare billing, Mississippi enrollment
- 38 clinicians in this Medicare group
Hazlehurst, MS 39083
- Reassigned Medicare billing, Mississippi enrollment
- 88 clinicians in this Medicare group
Hazlehurst, MS 39083
- Reassigned Medicare billing, Mississippi enrollment
- 159 clinicians in this Medicare group
Tylertown, MS 39667
- Reassigned Medicare billing, Mississippi enrollment
- 61 clinicians in this Medicare group
Tylertown, MS 39667
- Reassigned Medicare billing, Mississippi enrollment
- 62 clinicians in this Medicare group
Picayune, MS 39466
- Reassigned Medicare billing, Mississippi enrollment
- 78 clinicians in this Medicare group
Picayune, MS 39466
- Reassigned Medicare billing, Mississippi enrollment
- 50 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwest Missississippi Regional Medical Center
Acute Care Hospitals · Clarksdale, MSSouth Sunflower County Hospital
Acute Care Hospitals · Indianola, MSTyler Holmes Memorial Hospital Cah
Critical Access Hospitals · Winona, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Underwood's NPI number?
The NPI number for Evan Underwood is 1205148459. It was assigned to this individual provider in the NPPES registry on July 3, 2010.
Where is Evan Underwood located?
Evan Underwood practices at 420 Smith County Road 40, Mount Olive, MS 39119. The listed phone number is (601) 517-6019.
What is Evan Underwood's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Evan Underwood enrolled in Medicare?
Yes. Evan Underwood 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 Underwood's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Underwood reassigns Medicare benefits to 13 organizations: Rh Emergency Medicine Of Jefferson Davis LLC (Prentiss, MS), Rh Hospitalist Medicine Of Jefferson Davis LLC (Prentiss, MS), Rh Emergency Medicine Of Marion General LLC (Columbia, MS), Rh Hospitalist Medicine Of Marion General LLC (Columbia, MS), Copiah County Medical Center (Hazlehurst, MS) and 8 more organizations, listed in the Medicare section above. 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 Underwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evan Underwood accept?
Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare and Molina Healthcare list Evan Underwood 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.
Is Evan Underwood affiliated with any hospitals?
According to CMS data, Evan Underwood is affiliated with Northwest Missississippi Regional Medical Center, South Sunflower County Hospital and Tyler Holmes Memorial Hospital Cah.
When was this NPI record last updated?
The NPPES record for Evan Underwood was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Dr. Evan Lee Underwood, M.D. · NPI 1205148459
Family Medicine physician in Mount Olive, Mississippi. Individual provider, active in the CMS NPPES registry since July 3, 2010.
## Identity
- **NPI:** 1205148459 (Entity type: Individual)
- **Enumerated:** July 3, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** P8742 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 SMITH COUNTY ROAD 40, Mount Olive, MS 39119
- **Phone:** (601) 517-6019
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Rh Emergency Medicine Of Jefferson Davis LLC (NPI 1356103527, Prentiss, MS); Rh Hospitalist Medicine Of Jefferson Davis LLC (NPI 1174385355, Prentiss, MS); Rh Emergency Medicine Of Marion General LLC (NPI 1841064110, Columbia, MS); Rh Hospitalist Medicine Of Marion General LLC (NPI 1801660170, Columbia, MS); Copiah County Medical Center (NPI 1083039663, Hazlehurst, MS); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** August 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205148459) · Data from the CMS NPPES public registry.