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TIMOTHY J EVANS
NPI 1720095896
Nurse Practitioner - Family in Fulton, MS

Active since August 02, 2006PECOS Enrolled
1301 S ADAMS ST, FULTON, MS 38843(662) 862-4422(662) 862-4244 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 17, 2021, Jun 17, 2018 (2 updates tracked since 2018).

About Timothy J Evans NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY J EVANS (NPI 1720095896) is an individual family provider in Fulton, Mississippi, licensed in Mississippi (R819687) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720095896
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTIMOTHY J EVANS
Location Address1301 S ADAMS STFulton, MS 38843
Mailing Address3377 Joe Wheeler Brown RdFulton, MS 38843-7245 · (662) 790-4902
Phone(662) 862-4422
Fax(662) 862-4244
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1720095896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MS · R819687✔ Licensed in LA · AP09666
Also ListedNurse PractitionerTaxonomy 363L00000X · License R819687 (MS)
1301 S ADAMS ST, Fulton, MS 38843
Open in Google Maps ↗

Other Identifiers 1

OtherAP09666LA · Board Of Nursing

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy J Evans is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38843 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONVENIENT CARE OF FULTON INC
Family Medicine
1301 S ADAMS ST
FULTON, MS 38843
Itawamba County (662) 862-4422

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 Timothy Evans's NPI number?

The NPI number for Timothy Evans is 1720095896. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Timothy Evans located?

Timothy Evans practices at 1301 S Adams St, Fulton, MS 38843. The listed phone number is (662) 862-4422.

What is Timothy Evans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Timothy Evans enrolled in Medicare?

Yes. Timothy Evans is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Evans was last updated on June 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.