DR. JACK C EVANS MD
NPI 1396784187
Family Medicine in Laurel, MS
About Dr. Jack C Evans Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACK C EVANS MD (NPI 1396784187) is an individual family medicine provider in Laurel, Mississippi, licensed in Mississippi (09103) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Jasper General Hospital, and maintains a secondary practice location in Laurel.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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. Jack C Evans Md 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 Reassignment
Medicare enrollment records show Jack Evans reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Laurel, MS 39440
- Reassigned Medicare billing, Mississippi enrollment
- 205 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 2
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jasper General Hospital
Acute Care Hospitals · Bay Springs, MSSouth Central Reg Med Ctr
Acute Care Hospitals · Laurel, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 9
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAUREL, MS 39440
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 Jack Evans's NPI number?
The NPI number for Jack Evans is 1396784187. It was assigned to this individual provider in the NPPES registry on June 6, 2006.
Where is Jack Evans located?
Jack Evans practices at 1430 Jefferson St, Laurel, MS 39440. The listed phone number is (601) 425-2273.
What is Jack Evans's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jack Evans enrolled in Medicare?
Yes. Jack Evans 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 organization bills Medicare for Jack Evans's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Evans reassigns Medicare benefits to South Central Clinics, Inc (Laurel, MS). The 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 Jack Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Evans accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Jack Evans 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 Jack Evans affiliated with any hospitals?
According to CMS data, Jack Evans is affiliated with Jasper General Hospital and South Central Reg Med Ctr.
When was this NPI record last updated?
The NPPES record for Jack Evans was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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. Jack C Evans, MD · NPI 1396784187
Family Medicine physician in Laurel, Mississippi. Individual provider, active in the CMS NPPES registry since June 6, 2006.
## Identity
- **NPI:** 1396784187 (Entity type: Individual)
- **Enumerated:** June 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 09103 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1430 JEFFERSON ST, Laurel, MS 39440-4243
- **Phone:** (601) 425-2273 · **Fax:** (601) 426-9637
## 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:** South Central Clinics, Inc (NPI 1669609111, Laurel, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 1980
## Record status
- **NPPES last updated:** October 7, 2026
- **Other identifiers:** Medicaid 00014780 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1396784187) · Data from the CMS NPPES public registry.