DR. COURTNEY LYNN EVANS DO
NPI 1750084117
Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is Courtney Evans's NPI number?

The NPI number for Courtney Evans is 1750084117. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Q: What is Courtney Evans's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Evans was last updated on July 9, 2023. 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.

Active since March 24, 2023PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: July 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2023, Mar 31, 2023, Mar 24, 2023 (3 updates tracked since 2023).

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About Dr. Courtney Lynn Evans Do NPPES

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

DR. COURTNEY LYNN EVANS DO (NPI 1750084117) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750084117

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. COURTNEY LYNN EVANSCredential: DO

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address120 District Blvd Apt 343Jackson, MS 39211-6078 · (806) 241-5671

Phone(601) 984-1000

Sole ProprietorNo

Enumeration DateMarch 24, 2023

Last NPPES UpdateJuly 9, 20233 updates tracked since enumeration

NPPES CertifiedJuly 9, 2023

✔ NPI 1750084117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSurgeryTaxonomy 208600000X · License T-4886 (MS)

2500 N STATE ST, Jackson, MS 39216

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Courtney Lynn Evans Do 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.

Other Providers at the Same Location NPPES 20

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

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)