NICK R. EVANGELISTA PA
NPI 1770535254
Physician Assistant in Savannah, GA

Active since May 16, 2006
210 E DERENNE AVE, SAVANNAH, GA 31405(912) 644-5300(912) 644-5260 Get Directions Write a Review

NPPES record last updated: December 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nick R. Evangelista Pa NPPES

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

NICK R. EVANGELISTA PA (NPI 1770535254) is an individual physician assistant in Savannah, Georgia, licensed in Georgia (004375) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1770535254
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICK R. EVANGELISTACredential: PA
Location Address210 E DERENNE AVESavannah, GA 31405-6736
Mailing Address210 E Derenne AveSavannah, GA 31405-6736 · (912) 644-5300 · Fax (912) 644-5260
Fax(912) 644-5260
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateDecember 18, 2009
NPI 1770535254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 004375
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
210 E DERENNE AVE, Savannah, GA 31405

Other Identifiers 1

Medicare UPINS72808GA

Accepted Insurance

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.

Anesthesiologist Assistant
210 E DERENNE AVE
SAVANNAH, GA 31405
210 E DERENNE AVE
SAVANNAH, GA 31405
Orthopaedic Surgery
210 E DERENNE AVE
SAVANNAH, GA 31405
Orthopaedic Surgery (Sports Medicine)
210 E DERENNE AVE
SAVANNAH, GA 31405
Physician Assistant
210 E DERENNE AVE
SAVANNAH, GA 31405
Physical Therapist
210 E DERENNE AVE
SAVANNAH, GA 31405
Physician Assistant
210 E DERENNE AVE
SAVANNAH, GA 31405
Physician Assistant (Medical)
210 E DERENNE AVE
SAVANNAH, GA 31405

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 Nick Evangelista's NPI number?

The NPI number for Nick Evangelista is 1770535254. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Nick Evangelista located?

Nick Evangelista practices at 210 E Derenne Ave, Savannah, GA 31405. The listed phone number is (912) 644-5300.

What is Nick Evangelista's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Nick Evangelista accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Nick Evangelista 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 Nick Evangelista was last updated on December 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.