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

Mystical Evans, FNP-C

Individual provider Family Nurse Practitioner · NPI 1982338737

Mystical Evans, FNP-C is a Nurse Practitioner in Canton, Georgia. Qualified in 2022, 4 years ago. Practices with Omni Virtual Health Care Inc, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1495 Hickory Flat Hwy Ste 100
Canton, GA 30115-4266
Phone: (678) 341-6360
Fax: (678) 626-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN241432 (GA)

Record details

NPI number1982338737
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 15, 2022
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024
Mailing addressPo Box 459, Colbert, GA 30628-0459

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Omni Virtual Health Care Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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