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MYSTICAL EVANS FNP-C
NPI 1982338737
Nurse Practitioner - Family in Canton, GA

Active since July 15, 2022PECOS EnrolledAccepts Medicare Assignment
1495 HICKORY FLAT HWY STE 100, CANTON, GA 30115(678) 341-6360(678) 626-7900 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2024, Jul 15, 2022 (2 updates tracked since 2022).

About Mystical Evans Fnp-c NPPES

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

MYSTICAL EVANS FNP-C (NPI 1982338737) is an individual family provider in Canton, Georgia, licensed in Georgia (RN241432) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1982338737
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMYSTICAL EVANSCredential: FNP-C
Location Address1495 HICKORY FLAT HWY STE 100Canton, GA 30115-4266
Mailing AddressPo Box 459Colbert, GA 30628-0459
Phone(678) 341-6360
Fax(678) 626-7900
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 15, 2022
Last NPPES UpdateMay 9, 20242 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1982338737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN241432
1495 HICKORY FLAT HWY STE 100, Canton, GA 30115
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 and accepts Medicare assignment

Mystical Evans Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062894017
PECOS Enrollment IDI20220808001171
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

MADISON O'BRIEN
Physician Assistant
1495 HICKORY FLAT HWY STE 100
CANTON, GA 30115
Cherokee County (770) 442-1911
JEFFREY CRAIG STONE MD
Family Medicine
1495 HICKORY FLAT HWY STE 100
CANTON, GA 30115
Cherokee County (678) 341-6360
MR. JARED K ROBINSON PA-C
Family Medicine
1495 HICKORY FLAT HWY STE 100
CANTON, GA 30115
Cherokee County (678) 341-6360
CYNTHIA MOORE BRANDON APRN, FNP-BC
Nurse Practitioner
1495 HICKORY FLAT HWY STE 100
CANTON, GA 30115
Cherokee County (678) 341-6360
MRS. SANDRA E DECONZA PA-C
Physician Assistant (Medical)
1495 HICKORY FLAT HWY STE 100
CANTON, GA 30115
Cherokee County (678) 341-6360
MICHAELA MARIE SEJDIC PA
Physician Assistant
1495 HICKORY FLAT HWY STE 100
CANTON, GA 30115
Cherokee County (770) 442-1911
OLUWATOMILOLA OLUWAPELUMI MAKINDE MD
Family Medicine
1495 HICKORY FLAT HWY STE 100
CANTON, GA 30115
Cherokee County (678) 341-6360

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 Mystical Evans's NPI number?

The NPI number for Mystical Evans is 1982338737. It was assigned to this individual provider in the NPPES registry on July 15, 2022.

Where is Mystical Evans located?

Mystical Evans practices at 1495 Hickory Flat Hwy Ste 100, Canton, GA 30115. The listed phone number is (678) 341-6360.

What is Mystical Evans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mystical Evans enrolled in Medicare?

Yes. Mystical Evans is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mystical Evans affiliated with any hospitals?

According to CMS data, Mystical Evans is affiliated with Northside Hospital Forsyth.

When was this NPI record last updated?

The NPPES record for Mystical Evans was last updated on May 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.