Individual provider Active NPI

Marc Elie Eugene, MD

  • Family Medicine Physician
  • Fort Stewart, GA
National Provider Identifier
1427039148
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
043606 Issued in GA
Practice address
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone
(912) 435-6965
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 043606 GA Primary

Addresses

Primary practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Mailing address

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone (912) 435-6965

Other practice location 1

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1771

Other identifiers 1

IdentifierTypeStateIssuer
32751OtherFLINDIVIDUAL BCBS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL, SC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040728001090 FL Practitioner - Family Practice 5799762753 Reassigns benefits to 1 organization
I20180917001633 AL Practitioner - Family Practice 5799762753 Reassigns benefits to 2 organizations
I20200218003317 SC Practitioner - Family Practice 5799762753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Florida Hospital Specialists PAGroup PAC ID 5092628107, 53 clinicians

Practice addresses (Care Compare)

2000 Fowler Grove Blvd
Winter Garden, FL 34787-5050
Phone (407) 614-0500

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-1996

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
043606GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Dec 14, 2019 Accepting new patients
Northern Alabama Physicians, LLP CurrentSince May 15, 2018 Accepting new patients
Providence Hospital Current Accepting new patients
Providence Hospital CurrentSince Apr 10, 2020 Accepting new patients
Northern Alabama Physicians, LLP CurrentSince May 15, 2018 Accepting new patients
Sound Physicians of South Carolina, LLC Family Medicine CurrentSince Dec 14, 2019 Accepting new patients
Providence Hospital CurrentSince Apr 10, 2020 Accepting new patients
Nader H Chadda MD LLC PastSince Feb 25, 2026 Accepting new patients
Family Internal Medicine, PA Family Medicine Past Accepting new patients
Jay Care Medical Center, Inc. Past Accepting new patients
Smart Life Consult LLC Family Medicine Past Accepting new patients
Clerjo Primary Care and Spa LLC PastSince Nov 7, 2023 Accepting new patients
Chapel Podiatry & Associates PA PastSince Aug 1, 2002 Accepting new patients
Center for Sleep and Lung Disorders Inc PastSince May 29, 2007 Accepting new patients
Emmanuel Christian Health Center PA PastSince Apr 1, 1998 Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

6701 Airport Blvd
Ste D143
Mobile, AL 36608
Phone (205) 633-2314

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

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: marc.eugene.1@9582.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1427039148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-6965",
            "fax_number": "251-266-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-6965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1771",
            "fax_number": "321-434-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUGENE",
        "first_name": "MARC",
        "middle_name": "ELIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "043606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BCBS NUMBER",
            "identifier": "32751",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stewart, GA

Sources for this page

Verify at the official NPI Registry.