Healthcare Provider Details

I. General information

NPI: 1760431639
Provider Name (Legal Business Name): EVANS MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 TOWN PARK LN
EVANS GA
30809-3481
US

IV. Provider business mailing address

1205 TOWN PARK LN
EVANS GA
30809-3481
US

V. Phone/Fax

Practice location:
  • Phone: 706-868-3100
  • Fax: 706-228-3125
Mailing address:
  • Phone: 706-868-3100
  • Fax: 706-228-3125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateGA

VIII. Authorized Official

Name: CHRISTOPHER JOHN APOSTOL
Title or Position: PARTNER
Credential: DO
Phone: 706-868-3100