Angela Leigh Eubanks, MSN, PMHNP-BC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

RN248956 Issued in GA

Practice address

411 Goose Hollow Road
Reynolds, GA 31076

Phone

(800) 885-4673

Fax

(800) 885-4673

NPI assigned

Feb 11, 2020

Last updated

Jun 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

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.

• River Edge Behavioral Health Center

  • Community/Behavioral Health Agency
  • Macon, GA
  • NPI 1174512966
  Medicare reassignment NPD

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1205468840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S WINSTON ST",
            "city": "REYNOLDS",
            "state": "GA",
            "postal_code": "310763200",
            "telephone_number": "478-847-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 GOOSE HOLLOW ROAD",
            "city": "REYNOLDS",
            "state": "GA",
            "postal_code": "31076",
            "telephone_number": "800-885-4673",
            "fax_number": "800-885-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "ANGELA",
        "middle_name": "LEIGH",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "RN248956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CERTIFICATION",
            "identifier": "2019077292",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alternative Youth Services, Inc.
• Bridges for Change, Inc.
• Jennifer Alison Broussard, NP
• Thomas Prier Callier IV, MD
• Ilana Diallo
• Georgia Behavioral Campus LLC
• Georgia Recovery Campus,LLC
• Laspanya Hunter
• Jonathan Julian Knight, PHARMD
• Tammi Martin Knight, PHARMD

• Psychiatry Physician in Reynolds, GA
• Providers in Reynolds, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.