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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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Timothy Evans reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Comprehensive Hospitalists Of Ms, LLC
20 mi
Hospitalist
1105 EARL FRYE BLVD
Amory, MS 38821
  • Reassigned Medicare billing, Mississippi enrollment
  • 170 clinicians in this Medicare group
NPI 1467856385 (662) 256-7111
United Emergency Services Of Mississippi
50 mi
Emergency Medicine
2520 5TH ST N, EMERGENCY DEPARTMENT
Columbus, MS 39705
  • Reassigned Medicare billing, Mississippi enrollment
  • 42 clinicians in this Medicare group
NPI 1801983309 (662) 244-1000
Acs Primary Care Physicians Louisiana PC
311 mi
Emergency Medicine
211 4TH ST
Alexandria, LA 71301
  • Reassigned Medicare billing, Louisiana enrollment
  • 178 clinicians in this Medicare group
NPI 1306889092 (318) 473-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Timothy Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Evans reassigns Medicare benefits to 3 organizations: Comprehensive Hospitalists Of Ms, LLC (Amory, MS), United Emergency Services Of Mississippi (Columbus, MS) and Acs Primary Care Physicians Louisiana PC (Alexandria, LA). Each 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 Timothy Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Evans was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.