OrganizationActive
Evergreen Medical Cosmetic Laser Center
NPI 1992144240 · Primary Care Clinic/Center · Oneonta, AL
Provider details
- NPI number
- 1992144240
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jian Fong, MD(205) 834-2672
- License
- 27530 (AL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
104 1st Ave East
Oneonta, AL 35121
Phone: (205) 834-2672
Street-level locationGet directions
Mailing address
1638 Crossgate Dr
Birmingham, AL 35216
Registry dates
- Enumerated
- 2013-06-20
- Last updated
- 2013-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.