Active NPI
Kimberly Eubanks, FNP-BC
- Family Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-NP211522
- Practice address
- 12280 Lake Underhill Rd
Orlando, FL 32825-5009 - Phone
- (866) 389-2727
- Fax
- (401) 287-0316
- NPI assigned
- Jan 5, 2021
- Last updated
- Oct 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 15496 | CT | |
| Family Nurse Practitioner | 363LF0000X | 95025872 | CA | |
| Family Nurse Practitioner | 363LF0000X | APRN-CNP86795 | NM | |
| Family Nurse Practitioner | 363LF0000X | CNP231653 | ME | |
| Family Nurse Practitioner | 363LF0000X | RN10017316 | MA | |
| Family Nurse Practitioner | 363LF0000X | AP61579027 | WA | |
| Family Nurse Practitioner | 363LF0000X | APRN-NP211522 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | 35105 | TN | |
| Family Nurse Practitioner | 363LF0000X | C-RXN.0100421-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 294005 | AZ | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0043617 | OH | |
| Family Nurse Practitioner | 363LF0000X | 5018570 | NC | |
| Family Nurse Practitioner | 363LF0000X | APRN11033789 | FL |
Addresses
Primary practice location
12280 Lake Underhill Rd
Orlando, FL 32825-5009
Mailing address
1845 Azalea Springs TRL
Roswell, GA 30075-1858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
104 N Main St
Weaverville, NC 28787-8230
Phone (828) 645-7974
Hospital & facility affiliations
- Centerwell Home Health
- Memorial Mission Hospital and Asheville Surgery Ce
- Adventhealth Hendersonville
- Blue Ridge Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP211522 | GA | MD | Family Nurse Practitioner |
| 35105 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dry Ridge Family Medicine PLLC | Current | Accepting new patients | |
| Alpha Family Medicine Inc | Current | Accepting new patients | |
| Hopscotch Primary Care, PLLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Raleigh Durham Medical Group PA | Past | Accepting new patients | |
| Hopscotch Primary Care Group, PA | Past | Accepting new patients |
Locations
480 N Main St
Ste 202
Alpharetta, GA 30009
Phone (678) 433-9735
6 Brooklet St
Asheville, NC 28801
Phone (828) 250-0898
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
269 S Main St
Norwood, NC 28128
Phone (704) 474-3171
104 N Main St
Weaverville, NC 28787
Phone (817) 966-0621
Interoperability endpoints
- https://api.platform.athenahealth.com/26812/brand/6/csg/1/fhir/r4
- https://api.platform.athenahealth.com/9927/brand/1/csg/1/fhir/r4
- keubanks2705608@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 8
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.
-
dba Hopscotch Primary Care
- Family Medicine Physician
- Asheville, NC
- NPI 1265716922
-
- Primary Care Clinic/Center
- Alpharetta, GA
- NPI 1205243458
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba Atrium Health Primary Care Norwood Family Medicine
- Family Medicine Physician
- Norwood, NC
- NPI 1427452341
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Family Medicine Physician
- Weaverville, NC
- NPI 1003146507
-
dba Hopscotch Primary Care
- Family Medicine Physician
- Shelby, NC
- NPI 1831306992
-
dba Cannon Family Health
- Family Medicine Physician
- Asheville, NC
- NPI 1326209289
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CenterWell Home Health
- Home Health Agency
- Asheville, NC
- NPI 1720018542
-
dba AdventHealth Hendersonville
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
-
dba AdventHealth
- Family Medicine Physician
- Hendersonville, NC
- NPI 1477995124
Hospital
-
- Rural Acute Care Hospital
- Spruce Pine, NC
- NPI 1578048294
-
dba Mission Health - Mauzy Phillips Center
- Rural Health Clinic/Center
- Spruce Pine, NC
- NPI 1720556269
Hospital
-
dba Blue Ridge Medical Center - Yancey Campus
- Rural Health Clinic/Center
- Burnsville, NC
- NPI 1881161347
Hospital
-
dba Mission Hospital
- General Acute Care Hospital
- Asheville, NC
- NPI 1962987677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1093303042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 AZALEA SPRINGS TRL",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300751858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12280 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328255009",
"telephone_number": "866-389-2727",
"fax_number": "401-287-0316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUBANKS",
"first_name": "KIMBERLY",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-05",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "15496",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95025872",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "APRN-CNP86795",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP231653",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN10017316",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61579027",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "APRN-NP211522",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "35105",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-RXN.0100421-C-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "294005",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0043617",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5018570",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11033789",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.