EVOLVE BEHAVIORAL HEALTH, LLC
NPI 1316708993
Nurse Practitioner - Psychiatric/Mental Health in Florence, AL
About Evolve Behavioral Health, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVOLVE BEHAVIORAL HEALTH, LLC (NPI 1316708993), doing business as Evolve Behavioral Health, is a healthcare organization registered as a psychiatric/mental health in Florence, Alabama and active in the NPI registry since January 2024. The organization lists Jessi Blackstock Tidwell, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Evolve Behavioral Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Evolve Behavioral Health, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Evolve Behavioral Health, LLC's NPI number?
The NPI number for Evolve Behavioral Health, LLC is 1316708993. It was assigned to this organization in the NPPES registry on January 19, 2024. The provider is doing business as Evolve Behavioral Health.
Where is Evolve Behavioral Health, LLC located?
Evolve Behavioral Health, LLC is located at 2904 Mall Rd, Florence, AL 35630. The listed phone number is (256) 767-3330.
What is Evolve Behavioral Health, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Evolve Behavioral Health, LLC enrolled in Medicare?
Yes. Evolve Behavioral Health, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Evolve Behavioral Health, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Evolve Behavioral Health, LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Clinical Social Worker (1) and Internal Medicine (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Evolve Behavioral Health, LLC was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Evolve Behavioral Health, Llc · NPI 1316708993
Psychiatric/Mental Health organization in Florence, Alabama. Organization record, active in the CMS NPPES registry since January 19, 2024.
## Identity
- **NPI:** 1316708993 (Entity type: Organization)
- **Enumerated:** January 19, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Evolve Behavioral Health (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jessi Tidwell, CO-OWNER
## Practice location
- **Address:** 2904 MALL RD, Florence, AL 35630-1641
- **Phone:** (256) 767-3330 · **Fax:** (949) 695-4340
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Clinical Social Worker (1), Internal Medicine (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316708993) · Data from the CMS NPPES public registry.