MEDICARE: DR. DANAE ANN EVANS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	68508	GA

General Provider Information

NPI Number	:	1679717235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANAE ANN EVANS MD

Provider Business Mailing Address
First Line	:	720 WESTVIEW DR SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30310-1458
Country	:	US
Telephone Number	:	404-756-1451
Fax Number	:

Provider Business Practice Location Address
First Line	:	455 LEE ST SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30310-1408
Country	:	US
Telephone Number	:	404-756-1241
Fax Number	:	404-756-1237

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2009
Last Update Date	:	09/09/2025

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