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Deactivated NPI 1366732893 Deactivated / Inactive NPI Female Practitioner

Dr. Stacey Lane Evans , MD

Pediatrics • Memphis, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stacey Evans has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 18, 2011
NPI Deactivation Date October 02, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Stacey Evans, MD was a registered Pediatrics practicing in Memphis, TN. Throughout an active medical career spanning 14 years, Dr. Evans provided care at the practice location at 848 ADAMS AVE until profile deactivation on 2025-10-02.

Practice Location & Contact Primary Location

Practice Address

848 Adams Ave

Memphis, TN 381032816

Telephone 9016069802
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
200 Specialists

Practicing in Memphis, TN (1299 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TN 50568

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Glenn Wetzel , MD

Pediatrics - Pediatric Cardiology

NPI 1023074010

Doctor of Medicine (M.D.)

Dr. Mark Bugnitz , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1023075249

Doctor of Medicine (M.D.)

NPI 1023508249

Doctor of Medicine (M.D.)

NPI 1023682440

Doctor of Medicine (M.D.)

Cristina Martinez

Nurse Practitioner - Neonatal, Critical Care

NPI 1033616776
Dr. Maya Emptage , DNP PNP-PC

Nurse Practitioner - Pediatrics

NPI 1043176522

DNPPNPPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated October 02, 2025

Record deactivated on October 02, 2025

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Updated Business Mailing Address January 26, 2023

Registered at 50 N DUNLAP ST, MEMPHIS, TN 381032800

NPI Profile Active September 24, 2014

NPI status registered as active in NPPES database

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Updated Practice Location September 24, 2014

Registered at 848 ADAMS AVE, MEMPHIS, TN 381032816 (Tel: 9016069802)

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Updated Business Mailing Address September 24, 2014

Registered at 1270 ISLE BAY DR, MEMPHIS, TN 381038955

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Provider Name / Credentials Updated September 24, 2014

Recorded as STACEY EVANS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2014

Pediatrics (License #50568 in TN)

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Initial NPI Registration & Enumeration April 18, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366732893
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2011
Last Update: September 24, 2014
Deactivation Date: October 02, 2025

Mailing Address

1270 Isle Bay Dr

Memphis, TN 381038955

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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