EVANS FAMILY CENTERED HEALTHCARE NORTH CAMPUS
NPI 1760717433
Clinic/Center - Rural Health in Claxton, GA

Active since October 13, 2009
602 A E. LONG ST., CLAXTON, GA 30417(912) 739-5932(912) 739-5933 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Evans Family Centered Healthcare North Campus NPPES

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

EVANS FAMILY CENTERED HEALTHCARE NORTH CAMPUS (NPI 1760717433) is a healthcare organization registered as a rural health in Claxton, Georgia and active in the NPI registry since October 2009. The organization lists John Wiggins, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760717433
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameEVANS MEMORIAL HOSPITAL
Location Address602 A E. LONG ST.Claxton, GA 30417
Mailing Address200 N River StClaxton, GA 30417-1659 · (912) 739-5000
Fax(912) 739-5933
Organization SubpartNo
Authorized OfficialJohn WigginsCeo · (912) 739-5000
Enumeration DateOctober 13, 2009
Last NPPES UpdateJuly 19, 2011
✔ NPI 1760717433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
602 A E. LONG ST., Claxton, GA 30417

Other Names 1

Doing Business AsEvans Family Centered Healthcare North Campus

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evans Family Centered Healthcare North Campus is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Evans Family Centered Healthcare North Campus, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 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)

General Surgery
NPI 1215935606
604B E LONG ST
Claxton, GA 30417
(912) 739-7710
✔ PECOSSame address
Nurse Practitioner
NPI 1083959183
200 N RIVER ST
Claxton, GA 30417
(912) 739-2611
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1477050243
604A E LONG ST
Claxton, GA 30417
(912) 739-7710
✔ PECOS✔ Accepts Medicare0.2 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 Medicare19 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's NPI number?

The NPI number for Evans Memorial Hospital is 1760717433. It was assigned to this organization in the NPPES registry on October 13, 2009. The provider is doing business as Evans Family Centered Healthcare North Campus.

Where is Evans Memorial Hospital located?

Evans Memorial Hospital is located at 602 A E. Long St., Claxton, GA 30417. The listed phone number is (912) 739-5932.

What is Evans Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Evans Memorial Hospital enrolled in Medicare?

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

How many clinicians bill Medicare through Evans Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Evans Memorial Hospital. 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evans Memorial Hospital was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.