MR. CHARLES EDWARD III EVANS (P.T.A.) – Physical Therapy Assistant, NPI 1912976440

Physical Therapy Assistant

MR. CHARLES EDWARD III EVANS (P.T.A.) is a healthcare provider. based in Camilla, Georgia. specializing in Physical Therapy Assistant. They hold the professional credentials P.T.A.. They hold a License No. PTA001256 (GA). The NPI Number for MR. CHARLES EDWARD III EVANS (P.T.A.) is 1912976440

Main info

Male

Name

MR. CHARLES EDWARD III EVANS (P.T.A.)

NPI

1912976440

Phone

(229) 336-1115

Address

130 E BROAD ST

Enumeration Date

16 March 2006

Last Update Date

8 July 2007

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. CHARLES EDWARD III EVANS (P.T.A.)

130, East Broad Street, Camilla, Mitchell County, Georgia, 31730, United States
CAMILLA, GA 317301809
Phone: (229) 336-1115
Fax: (229) 336-1151
Type: Location
140 SAINT CLAIR DR
LEESBURG, GA 317633225
Phone: (229) 439-7337
Type: Mailing

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31730)

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Reviews

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Frequently asked questions

Is MR. CHARLES EDWARD III EVANS (P.T.A.) listed with a National Provider Identifier?

Yes — MR. CHARLES EDWARD III EVANS (P.T.A.) has NPI 1912976440 on file in the registry.

Is MR. CHARLES EDWARD III EVANS (P.T.A.) shown as active in public data?

Registry records indicate MR. CHARLES EDWARD III EVANS (P.T.A.) maintains an active NPI.

How would a patient describe MR. CHARLES EDWARD III EVANS (P.T.A.)'s focus?

For MR. CHARLES EDWARD III EVANS (P.T.A.), the primary taxonomy reads as Physical Therapy Assistant. Clinical services aligned with this taxonomy classification.

What practice footprint exists for MR. CHARLES EDWARD III EVANS (P.T.A.)?

Travel planning: use Camilla, Georgia as the reference point for MR. CHARLES EDWARD III EVANS (P.T.A.), then confirm.

When was this NPI issued?

Enumeration for MR. CHARLES EDWARD III EVANS (P.T.A.) is noted as March 16, 2006 where the registry provides it.