EVANS MEMORIAL HOSPITAL, INC.
NPI 1730110826
General Acute Care Hospital in Claxton, GA

Active since July 06, 2006
200 N RIVER ST, CLAXTON, GA 30417(912) 739-5000(912) 739-5106 Get Directions Write a Review

NPPES record last updated: November 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 25, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Evans Memorial Hospital, Inc. NPPES

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

EVANS MEMORIAL HOSPITAL, INC. (NPI 1730110826) is a healthcare organization registered as a general acute care hospital in Claxton, Georgia and active in the NPI registry since July 2006. The organization lists John W Wiggins, Cfo, as its authorized official.

NPPES Registry Identity

NPI1730110826
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameEVANS MEMORIAL HOSPITAL, INC.
Location Address200 N RIVER STClaxton, GA 30417-1659
Mailing Address200 N River StClaxton, GA 30417-1659 · (912) 739-5000 · Fax (912) 739-5106
Fax(912) 739-5106
Organization SubpartNo
Authorized OfficialJohn W WigginsCfo · (912) 739-5139
Enumeration DateJuly 6, 2006
Last NPPES UpdateNovember 25, 20222 updates tracked since enumeration
NPPES CertifiedNovember 25, 2022
✔ NPI 1730110826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in GA · 054526
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
200 N RIVER ST, Claxton, GA 30417

Other Identifiers 2

Medicaid000000734CGA
Medicaid000000734AGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evans Memorial Hospital, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by February 28, 2027

This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20071211000069Part A · HospitalDue dateFebruary 28, 2027
StateGeorgiaEnrollment IDO20071211000260Part A · HospitalDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Evans Memorial Hospital, Inc., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

General Surgery3
Nurse Practitioner3
Diagnostic Radiology2
Family Practice2
Internal Medicine1

Clinicians, nearest first (11)

Nurse Practitioner
NPI 1083959183
200 N RIVER ST
Claxton, GA 30417
(912) 739-2611
✔ PECOS✔ Accepts Medicare0.4 mi
General Surgery
NPI 1215935606
604B E LONG ST
Claxton, GA 30417
(912) 739-7710
✔ PECOS0.5 mi
General Surgery
NPI 1477050243
604A E LONG ST
Claxton, GA 30417
(912) 739-7710
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1386183879
159 WEST RAILROAD STREET SUITE A
Pembroke, GA 31321
(912) 653-2897
✔ PECOS✔ Accepts Medicare16 mi
General Surgery
NPI 1548420599
1058 BERMUDA RUN ROAD
Statesboro, GA 30458
(912) 871-7100
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1912921065
10 DOCTORS ST
Metter, GA 30439
(912) 685-5715
✔ PECOS✔ Accepts Medicare20 mi
Family Practice
NPI 1134203904
1061 HARMON AVE
Fort Stewart, GA 31314
(912) 435-6868
✔ PECOS27 mi
Nurse Practitioner
NPI 1184006462
101 SAINT JOSEPHS CANDLER DR
Pooler, GA 31322
(912) 748-1999
✔ PECOS✔ Accepts Medicare38 mi
Diagnostic Radiology
NPI 1720072317
503 EISENHOWER DR
Savannah, GA 31406
(912) 355-6255
✔ PECOS✔ Accepts Medicare48 mi
Internal Medicine
NPI 1700048188
631 CAMPBELL HILL ST NW STE 200
Marietta, GA 30060
(912) 695-6090
✔ PECOS✔ Accepts Medicare198 mi
Diagnostic Radiology
NPI 1790720779
618 FREDERICK DR
Cleveland, MS 38732
(662) 299-2999
✔ PECOS525 mi

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 Evans Memorial Hospital, Inc.'s NPI number?

The NPI number for Evans Memorial Hospital, Inc. is 1730110826. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Evans Memorial Hospital, Inc. located?

Evans Memorial Hospital, Inc. is located at 200 N River St, Claxton, GA 30417. The listed phone number is (912) 739-5000.

What is Evans Memorial Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Evans Memorial Hospital, Inc. enrolled in Medicare?

Yes. Evans Memorial Hospital, Inc. is registered in the Medicare PECOS enrollment system.

When is Evans Memorial Hospital, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Evans Memorial Hospital, Inc. holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by February 28, 2027 (Part A, Georgia, Hospital). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Evans Memorial Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Evans Memorial Hospital, Inc.. 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 General Surgery (3), Nurse Practitioner (3) and Diagnostic Radiology (2). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Evans Memorial Hospital, Inc. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Evans Memorial Hospital, Inc. 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.

When was this NPI record last updated?

The NPPES record for Evans Memorial Hospital, Inc. was last updated on November 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.