Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Byron Evans, PA

Individual provider Physician Assistant · NPI 1134726714

Byron Evans, PA is a Physician Assistant in Gouverneur, New York. Qualified in 2021, 5 years ago. Practices with Watertown Urgent Care PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

77 W Barney St
Gouverneur, NY 13642-1040
Phone: (315) 287-4440
Fax: (315) 287-1858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 027714 (NY)

Record details

NPI number1134726714
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 6, 2020
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023
Mailing address4 Commerce Lane, Canton, NY 13617

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Watertown Urgent Care Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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