EVANS MEDICAL CLINIC PLLC
NPI 1295904902
Clinic/Center in Paris, TN

NPI Status: Active since February 27, 2008

Contact Information

300 HOSPITAL CIR
SUITE 102
PARIS, TN
ZIP 38242
Phone: (731) 644-7662
Fax: (731) 644-7665

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  • Organization
  • Clinic/Center
  • CLIA Number: 44D1056275
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-22-2027

About EVANS MEDICAL CLINIC PLLC

This page provides the complete NPI Profile along with additional information for Evans Medical Clinic Pllc, a provider established in Paris, Tennessee operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1295904902 assigned on February 2008. The practitioner's primary taxonomy code is 261Q00000X with license number MD0000031994 (TN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's former legal business name is Pamela R. Evans, Md, Pc. The authorized official of this NPI record is Mrs. Shelly Baker (Credentialling/billing)

NPI
1295904902
Provider Legal Name
EVANS MEDICAL CLINIC PLLC
Other Organization Name
PAMELA R. EVANS, MD, PC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
300 HOSPITAL CIR SUITE 102 PARIS, TN 38242
Location Phone
(731) 644-7662
Location Fax
(731) 644-7665
Mailing Address
3493 VETERANS DR N SUITE C HUNTINGDON, TN 38344
Mailing Phone
(731) 986-2933
Mailing Fax
(731) 644-7665
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2008
Last Update Date
07-26-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
MD0000031994
License State
TN
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. SHELLY BAKER

Authorized Official Title
CREDENTIALLING/BILLING
Authorized Official Phone
(731) 986-2933

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3846508MEDICARE PIN (08)TN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D1056275
Facility Type
Physician Office
Certificate Effective Date
July 23, 2025
Certificate Expiration Date
July 22, 2027
Laboratory Director
KARON W. HATHCOAT
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Evans Medical Clinic Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295904902, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 1 + 8 + 0 + 8 + 9 + 0 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1295904902.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
300 HOSPITAL CIR, SUITE 103
PARIS, TN 38242
Obstetrics & Gynecology
300 HOSPITAL CIR, SUITE 103
PARIS, TN 38242
Orthopaedic Surgery
300 HOSPITAL CIR, SUITE 201
PARIS, TN 38242
Radiology (Diagnostic Radiology)
300 HOSPITAL CIR
PARIS, TN 38242
Psychiatry & Neurology (Psychiatry)
300 HOSPITAL CIR, STE. 202
PARIS, TN 38242
Radiology (Diagnostic Radiology)
300 HOSPITAL CIR, SUITE 1031
PARIS, TN 38242

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295904902, enumerated as an "organization" on February 27, 2008.

The provider is located at 300 HOSPITAL CIR SUITE 102 PARIS, TN 38242 and the phone number is (731) 644-7662.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.