Charles Edward Evans III, P.T.A.

Physical Therapy Assistant · Camilla, GA

Individual Active NPI

NPI number 1912976440

Practice location

130 E Broad St
Camilla, GA 31730-1809
Phone
(229) 336-1115
Fax
(229) 336-1151

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NPI record

NPI
1912976440
Entity type
Individual (Type 1)
Enumeration date
March 16, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA001256 GA

Mailing address

140 Saint Clair Dr
Leesburg, GA 31763-3225
Phone
(229) 439-7337

About Charles Evans

Charles Edward Evans III, P.T.A. is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 130 E Broad St, Camilla, GA 31730-1809. The NPI number 1912976440 was assigned on March 16, 2006 and the record was last updated on July 13, 2026.

Charles Evans lists a license in the registry: #PTA001256 (GA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Edward Evans III, P.T.A.?

The NPI number is 1912976440.

What is the phone number of Charles Evans?

The phone number listed for the practice location is (229) 336-1115.

Where is Charles Evans located?

130 E Broad St, Camilla, GA 31730-1809.

What is the taxonomy code for Charles Evans?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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