Provider Type Icon

WAKESHA T EVANS PA-C NPI 1952585564


NPI Information

NPI: 1952585564
Provider Name: WAKESHA T EVANS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: LIBERTY DOCTORS LLC

PECOS Registration: Yes

Address:
5880 RIVERS AVE
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 725-4673
Get Directions

Wakesha T Evans, PA-C is a medical physician assistant in North Charleston, SC with 17 years of experience. Wakesha T Evans, PA-C NPI is 1952585564. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2007

The provider's business location address is:

5880 RIVERS AVE
NORTH CHARLESTON, SC
ZIP 29406-053
Phone: (843) 725-4673
Fax: (843) 725-1235

The NPI 1952585564 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/19/2007 and was last updated on 12/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.