DR. EVAN GARRISON GROSS MD
NPI 1790573541
Student in an Organized Health Care Education/Training Program in Memphis, TN

Q: What is Evan Gross's NPI number?

The NPI number for Evan Gross is 1790573541. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Q: What is Evan Gross'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 Evan Gross was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 April 30, 2025PECOS Enrolled

920 MADISON AVE STE 447, MEMPHIS, TN 38103(901) 448-3197(901) 516-7430 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Evan Garrison Gross Md NPPES

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

DR. EVAN GARRISON GROSS MD (NPI 1790573541) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790573541

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. EVAN GARRISON GROSSCredential: MD

Location Address920 MADISON AVE STE 447Memphis, TN 38103-3438

Mailing Address2905 Madrey Ln SeOwens Cross Roads, AL 35763-8465 · (256) 651-7736

Phone(901) 448-3197

Fax(901) 516-7430

Sole ProprietorNo

Enumeration DateApril 30, 2025

NPPES CertifiedApril 30, 2025

✔ NPI 1790573541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

920 MADISON AVE STE 447, Memphis, TN 38103

Open in Google Maps ↗

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. Evan Garrison Gross Md 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.

DR. DAVID EDWARD ZIMMERHANZEL MD

Student in an Organized Health Care Education/Training Program