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 South Central Reg Med Ctr, and is a graduate of University Of Mississippi School Of Medicine (1980).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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.
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1440 Jefferson St, Laurel, MS 39440. The listed phone number is (601) 428-0577.
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.
What insurance does Jack Evans accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 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 South Central Reg Med Ctr.
When was this NPI record last updated?
The NPPES record for Jack Evans was last updated on February 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# 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:** 1440 JEFFERSON ST, Laurel, MS 39440-4243
- **Phone:** (601) 428-0577 · **Fax:** (601) 649-7962
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Mississippi School Of Medicine, class of 1980
## Record status
- **NPPES last updated:** February 11, 2014
- **Other identifiers:** Medicaid 00014780 (MS); Medicare OSCAR/certification 080003659 (MS); Medicare UPIN B66173 (MS); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1396784187) · Data from the CMS NPPES public registry.