JOHN JR. EVANS (NURSE PRACTITIONER) – Adult Health Nurse Practitioner, NPI 1083033286

JOHN JR. EVANS (NURSE PRACTITIONER) is a healthcare provider. based in Dothan, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 1-058261 (AL). The NPI Number for JOHN JR. EVANS (NURSE PRACTITIONER) is 1083033286

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JOHN JR. EVANS (NURSE PRACTITIONER)
NPI
1083033286
Phone
(334) 794-1148
Address
1118 ROSS CLARK CIR
Enumeration Date
15 April 2014
Last Update Date
15 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347941148
Graduation Year
2014 (12 years ago)
PAC ID
6901105444
Group Practice PAC ID
7416848247
Professional Enrollment ID
I20160629002356
Address ID
AL363013023DO1118XCIRX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for JOHN JR. EVANS (NURSE PRACTITIONER)

  • 1118 ROSS CLARK CIR

    SUITE 100

    DOTHAN, AL 363013001

    Phone: (334) 794-1148

    Fax: (334) 793-1954

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $515.

Total Amount is formed as General ($515) + Research ($0) + Ownership ($0) = $515.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Abbott Laboratories ($132).

Total Amount

$515

General + Research + Ownership

Payments

31

Total payment records

General Amount

$515

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160629002356INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 36301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416848247View full group profile
NameSpecialtyState
Nurse PractitionerAL
Internal MedicineAL
Nurse PractitionerAL
R H E U M A T O L O G YAL
Internal MedicineVA
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
-AL

Reviews

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Frequently asked questions

Where can patients find JOHN JR. EVANS (NURSE PRACTITIONER)'s NPI?
You can confirm JOHN JR. EVANS (NURSE PRACTITIONER) with NPI 1083033286; it appears in the national provider directory.
Is JOHN JR. EVANS (NURSE PRACTITIONER)'s NPI currently valid?
The extract we use shows JOHN JR. EVANS (NURSE PRACTITIONER) as active.
Does JOHN JR. EVANS (NURSE PRACTITIONER) list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for JOHN JR. EVANS (NURSE PRACTITIONER). Clinical services aligned with this taxonomy classification.
Where does public data place JOHN JR. EVANS (NURSE PRACTITIONER)?
The snapshot lists Dothan, Alabama for JOHN JR. EVANS (NURSE PRACTITIONER); download NPPES for the complete set.
Is JOHN JR. EVANS (NURSE PRACTITIONER) a real provider?
This page reflects official NPPES data for NPI 1083033286. Always confirm identity and privileges with the practice and licensing boards.

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