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

Evan G Tacey

Individual provider Social Worker · NPI 1700524253

Evan G Tacey is a Family Practice in Niles, Michigan. Graduated from Michigan State University College of Human Medicine in 2022, 4 years ago. Practices with Mymichigan Medical Center Midland, a 509-clinician group and accepts Medicare assignment.

Years since qualifying
4
Trained at
Michigan State University College of Human Medicine
In the registry since
2022

Practice location Address checks out

20 N 2nd St Ste 103
Niles, MI 49120-2259
Phone: (269) 262-1815
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1700524253
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 24, 2022
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022
Mailing address20 N 2nd St Ste 103, Niles, MI 49120-2259

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2022 (4 years in practice)
Group practice Mymichigan Medical Center Midland — 509 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Niles