P Praxis·MD
● Active Type 1 · Individual

Kendrix Jermaine Evans, M.D.

Surgery·Vidalia, GA· NPI 1831325356 · Enumerated 2009 · 16 years on NPI
Evans is 1 of 12 surgery providers in Vidalia and 1 of 1389 in Georgia.
NPI age
16 years
Enumerated 2009-06-10
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
📞 9125389977fax 9125380770
Mailing address
919 Hidden Rdg
Irving, TX 750383813
📞 4692822711fax 4692822609

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
📞 3374303150fax 3374303158

Specialties

  • Surgery Primary
    A 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...
    GA license #83679UT license #8406595-1205LA license #301950MS license #21459 taxonomy 208600000X
  • Student in an Organized Health Care Education/Training Program
    An 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.
    taxonomy 390200000X

Identifiers

TypeValueNotes
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.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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