Individual provider Active NPI

David Allen Eubanks, APRN-CNP

  • Primary Care Nurse Practitioner
  • Paragould, AR
National Provider Identifier
1235954231
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
230847 Issued in AR
Practice address
4000 Linwood Dr Ste I
Paragould, AR 72450-7224
Phone
(870) 205-2125
NPI assigned
Nov 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 230847 AR Primary

Addresses

Primary practice location

4000 Linwood Dr Ste I
Paragould, AR 72450-7224

Mailing address

4000 Linwood Dr Ste I
Paragould, AR 72450-7224
Phone (870) 205-2125

Other practice location 1

900 W Kingshighway
Paragould, AR 72450-5942
Phone (870) 239-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20250131000345 AR Practitioner - Nurse Practitioner 7012446388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 W Kingshighway
Paragould, AR 72450-4197

4000 Linwood Dr
Suite I
Paragould, AR 72450-7224
Phone (870) 205-2125

900 W Kingshighway
Paragould, AR 72450-5942

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
230847ARMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Methodist Hospital Corporation CurrentSince Jan 24, 2025 Accepting new patients

Locations

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

1000 W Kingshighway
Ste 14
Paragould, AR 72450
Phone (870) 239-7103

4000 Linwood Dr
Ste I
Paragould, AR 72450
Phone (870) 205-2125

Organizations & group practices 1

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1235954231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 LINWOOD DR STE I",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507224",
            "telephone_number": "870-205-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LINWOOD DR STE I",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507224",
            "telephone_number": "870-205-2125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W Kingshighway",
            "address_purpose": "LOCATION",
            "city": "Paragould",
            "state": "AR",
            "postal_code": "724505942",
            "country_code": "US",
            "telephone_number": "870-239-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "230847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.