MYSTICAL EVANS FNP-C
NPI 1982338737
Nurse Practitioner - Family in Canton, GA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Mystical Evans reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Alpharetta, GA 30009
- Reassigned Medicare billing, Georgia enrollment
- 17 clinicians in this Medicare group
Alpharetta, GA 30022
- Reassigned Medicare billing, Georgia enrollment
- 240 clinicians in this Medicare group
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Forsyth
Acute Care Hospitals · Cumming, GAPiedmont Hospital
Acute Care Hospitals · Atlanta, GAEmory Johns Creek Hospital
Acute Care Hospitals · Johns Creek, GAPhysician 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CANTON, GA 30115
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.
Which organizations bill Medicare for Mystical Evans's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mystical Evans reassigns Medicare benefits to 3 organizations: Omni Virtual Health Care Inc (Alpharetta, GA), Southeast Medical Group, P.C. (Alpharetta, GA) and Advanced Joint Surgery Specialists, LLC (Atlanta, GA). Each 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 Mystical Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mystical Evans accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mystical Evans 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.
Is Mystical Evans affiliated with any hospitals?
According to CMS data, Mystical Evans is affiliated with Northside Hospital Forsyth, Piedmont Hospital and Emory Johns Creek Hospital.
When was this NPI record last updated?
The NPPES record for Mystical Evans was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mystical Evans, FNP-C · NPI 1982338737
Family physician in Canton, Georgia. Individual provider, active in the CMS NPPES registry since July 15, 2022.
## Identity
- **NPI:** 1982338737 (Entity type: Individual)
- **Enumerated:** July 15, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN241432 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1495 HICKORY FLAT HWY STE 100, Canton, GA 30115-4266
- **Phone:** (678) 341-6360 · **Fax:** (678) 626-7900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Omni Virtual Health Care Inc (NPI 1093381709, Alpharetta, GA); Southeast Medical Group, P.C. (NPI 1235296054, Alpharetta, GA); Advanced Joint Surgery Specialists, LLC (NPI 1477929206, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 9, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1982338737) · Data from the CMS NPPES public registry.