Precious Grace Castro Evangelista, MSN, APRN, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in McDonough, GA. Individual provider (NPI-1).
NPI number1760102487
StatusActive
Last updated in NPPESSep 1, 2022
Details
- NPI
- 1760102487
- Entity type
- Individual (NPI-1)
- Name
- Ms. Precious Grace Castro Evangelista
- Credential
- MSN, APRN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2022
- Certification date
- Sep 1, 2022
- Last updated
- Sep 1, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN166173 | GA | Yes |
Practice location
428 Savannah PlMcDonough, GA 30253-7374
Phone 140-443-2838
Mailing address
428 Savannah PlMcDonough, GA 30253-7374
Phone 404-432-8380
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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