Individual provider Active NPI

Charles Curry Eaves Jr., DO

  • Emergency Medicine Physician
  • Marianna, FL
National Provider Identifier
1003862244
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS14631 Issued in FL
Practice address
4250 Hospital Dr
Marianna, FL 32446-1917
Phone
(850) 716-2561
NPI assigned
May 26, 2006
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS14631 FL Primary

Addresses

Primary practice location

4250 Hospital Dr
Marianna, FL 32446-1917

Mailing address

3663 Preserve Blvd
Panama City Beach, FL 32408-7141
Phone (850) 896-5326

Other practice location 1

533 Carlton St
Wauchula, FL 33873-3407
Phone (863) 767-8270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040107000772 FL Practitioner - Emergency Medicine 0244139301 Reassigns benefits to 4 organizations
I20130724000888 SC Practitioner - Emergency Medicine 0244139301 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5004FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Health System Emergency Medicine CurrentSince Nov 8, 2014 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
The Pathology Group of Northwest Florida PLLC Current Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Village Hospital CurrentSince Jan 6, 2020 Accepting new patients
Holmes County Hospital Corp Current Accepting new patients
Greenville Health System Current Accepting new patients
Pelham Medical Center Emergency Medicine Current Accepting new patients
Greenville Health System CurrentSince Nov 8, 2014 Accepting new patients
Spartanburg Medical Center Emergency Medicine CurrentSince Jan 6, 2020 Accepting new patients
Sound Physicians Emergency Medicine of South Carolina LLC Emergency Medicine CurrentSince Dec 1, 2018 Accepting new patients
Vivid Pathology PA Current Accepting new patients
Gilford Sound Emergency Physicians LLC Emergency Medicine CurrentSince Mar 16, 2018 Accepting new patients
Spartanburg Medical Center CurrentSince Jan 6, 2020 Accepting new patients
Pelham Medical Center CurrentSince Jan 6, 2020 Accepting new patients
Holmes County Hospital Corp CurrentSince Jul 1, 2021 Accepting new patients
Sterthaus ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Osprey Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Island Medical Alabama LLC Emergency Medicine Past Accepting new patients
City Circle ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Advance Technological Radiology, PA Past Accepting new patients
Oceanwind ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Carlton ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Oakfield Drive Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Physician Solutions of South Florida, LLC Emergency Medicine PastSince Mar 1, 2020 Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Shorecoast ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Dolphin Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Emergency Physician Specialists Inc Emergency Medicine PastSince Feb 1, 2013 Accepting new patients

Locations (25 of 28)

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

2600 Hospital Dr
Bonifay, FL 32425
Phone (850) 416-6484

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

11800 Sherri Ln
Miami, FL 33183
Phone (305) 227-5579

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

2361 N Semoran Blvd
Orlando, FL 32807
Phone (407) 359-6010

8300 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 359-6007

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

Organizations & group practices 33

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1003862244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 PRESERVE BLVD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324087141",
            "telephone_number": "850-896-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HOSPITAL DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461917",
            "telephone_number": "850-716-2561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "533 Carlton St",
            "address_purpose": "LOCATION",
            "city": "Wauchula",
            "state": "FL",
            "postal_code": "338733407",
            "country_code": "US",
            "telephone_number": "863-767-8270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAVES",
        "first_name": "CHARLES",
        "middle_name": "CURRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS14631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.