Active NPI
Ryan Eubanks
- Certified Registered Nurse Anesthetist
- Leesburg, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN198478
- Practice address
- 115 Apalachee Dr
Leesburg, GA 31763-5214 - Phone
- (229) 869-7708
- NPI assigned
- Aug 18, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN198478 | GA | Primary |
Addresses
Primary practice location
115 Apalachee Dr
Leesburg, GA 31763-5214
Mailing address
115 Apalachee Dr
Leesburg, GA 31763-5214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900
151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800
151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882
151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100
151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159
417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222
Hospital & facility affiliations
- Phoebe Putney Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN198478 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc. | Current | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061
2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
Organizations & group practices 3
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.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Ophthalmology Physician
- Tifton, GA
- NPI 1790280857
-
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1679949200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 APALACHEE DR",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317635214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 APALACHEE DR",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317635214",
"telephone_number": "229-869-7708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUBANKS",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN198478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.