NPI age
16 years
Enumerated 2009-06-10
● Active
Type 1 · Individual
Kendrix Jermaine Evans, M.D.
Evans is 1 of 12 surgery providers in Vidalia and 1 of 1389 in Georgia.
Primary specialty
Surgery
Plus 4 subspecialties
Licensed in
GA, UT, LA, MS
4 states
Status
Active
No deactivations on record
Last NPPES update
2019-10-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1389 active surgery providers in Georgia.
NPI age
16 years
≈ at median (17 yr)
State licenses
4 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 28% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-06Enumerated in NPPES
2009
2026
Where they practice
Practice location
1811 Edwina Dr
Vidalia, GA 304748963
Mailing address
919 Hidden Rdg
Irving, TX 750383813
Additional practice locations
1 secondary location on file with NPPES.
Location 2
401 Dr Michael Debakey Dr, Suite 100 C&d
Lake Charles, LA 706015864
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (MS) | 08771565 | |
| 05 (LA) | 2427458 | |
| 05 (GA) | 003221715A |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1389 Surgery providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.