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JUDSON HOLT EVANS III DO
NPI 1790624567
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since March 26, 2026PECOS Enrolled
1 MEDICAL CENTER BLVD WINSTON-SALEM NC 27157, WINSTON SALEM, NC 27157(336) 716-4426 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judson Holt Evans Iii Do NPPES

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

JUDSON HOLT EVANS III DO (NPI 1790624567) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790624567
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUDSON HOLT EVANS IIICredential: DO
Location Address1 MEDICAL CENTER BLVD WINSTON-SALEM NC 27157Winston Salem, NC 27157-0001
Mailing Address1 Medical Center BoulevardWinston Salem, NC 27157-0001 · (336) 716-6410
Phone(336) 716-4426
Sole ProprietorNo
Enumeration DateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1790624567 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.
1 MEDICAL CENTER BLVD WINSTON-SALEM NC 27157, Winston Salem, NC 27157
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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)

Judson Holt Evans Iii 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 4

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

JUAN PEDRO GIRALDO RESTREPO MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD WINSTON-SALEM NC 27157
WINSTON SALEM, NC 27157
Forsyth County (336) 716-0143
CHLOE ALEXIS KEEVE
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD WINSTON-SALEM NC 27157
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4498
ANGELINA HELEN WIATER MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BLVD WINSTON-SALEM NC 27157
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
KAILEE ANN ALRED PA-C
Physician Assistant (Medical)
1 MEDICAL CENTER BLVD WINSTON-SALEM NC 27157
WINSTON SALEM, NC 27157
Forsyth County (226) 716-2011

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 Judson Evans's NPI number?

The NPI number for Judson Evans is 1790624567. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Judson Evans located?

Judson Evans practices at 1 Medical Center Blvd Winston-Salem Nc 27157, Winston Salem, NC 27157. The listed phone number is (336) 716-4426.

What is Judson Evans's specialty?

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

Is Judson Evans enrolled in Medicare?

Yes. Judson Evans is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judson Evans was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.