CASSANDRA EVANS (MD) – Emergency Medicine Physician, NPI 1063457091

CASSANDRA EVANS (MD) is a healthcare provider. based in Canton, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 018860 (GA). The NPI Number for CASSANDRA EVANS (MD) is 1063457091

Main info

Female
Sole Proprietor
51 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA EVANS (MD)
NPI
1063457091
Phone
Not provided
Address
2268 REINHARDT COLLEGE PKWY
Enumeration Date
16 June 2006
Last Update Date
8 October 2008

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9549395000
Graduation Year
1975 (51 years ago)
PAC ID
9537100284
Group Practice PAC ID
2567692528
Professional Enrollment ID
I20200117000954
Address ID
AZ850858876PH33400AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

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Provider Addresses for CASSANDRA EVANS (MD)

  • Reinhardt College Parkway, Canton, Cherokee County, Georgia, 30114, United States

    CANTON, GA 301142064

    Phone:

    Type: Mailing

  • Redmond Regional Medical Center, 501, Redmond Road, Mount Berry, Rome, Floyd County, Georgia, 30165, United States

    ROME, GA 301651415

    Phone: (706) 291-0291

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20050817000575IEmergency MedicineGATBD
I20200117000954IEmergency MedicineAZTBD
I20200707001518IEmergency MedicineCOTBD

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
99284Emergency department visit with moderate level of medical decision making5151$0
99285Emergency department visit with high level of medical decision making3030$0
99283Emergency department visit with low level of medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 30114)

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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: 2567692528View full group profile
NameSpecialtyState
Emergency MedicineNV
Nurse PractitionerAZ
Emergency MedicineAZ
Emergency MedicineTX
Emergency MedicineAZ
Emergency MedicineMO
Emergency MedicineAZ
Emergency MedicineTX
Physician AssistantAZ
Emergency MedicineCA

Reviews

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Frequently asked questions

What is CASSANDRA EVANS (MD)'s NPI number?
CASSANDRA EVANS (MD)'s NPI is 1063457091 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to CASSANDRA EVANS (MD)?
You should see CASSANDRA EVANS (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for CASSANDRA EVANS (MD)?
At a glance, CASSANDRA EVANS (MD) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CASSANDRA EVANS (MD)?
Directory geography for CASSANDRA EVANS (MD) centers on Canton, Georgia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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