Healthcare Provider Details

I. General information

NPI: 1184686180
Provider Name (Legal Business Name): SURGICAL ASSOCIATES OF ASHEBORO, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 S SIDE BLVD
GREENSBORO NC
27406-3311
US

IV. Provider business mailing address

2537 MOUNTAIN LAKE RD
ASHEBORO NC
27205-4497
US

V. Phone/Fax

Practice location:
  • Phone: 336-604-2300
  • Fax: 336-625-1136
Mailing address:
  • Phone: 336-963-2007
  • Fax: 336-625-1136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD ALAN EVANS
Title or Position: PHYSCIAN/OWNER
Credential: MD
Phone: 336-963-2007