Eric Scott Eanes, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101053183 Issued in VA

Practice address

12431 Lookout Point Dr
Charlotte, NC 28269-8522

Phone

(901) 497-0587

NPI assigned

Dec 27, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1700392800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12431 LOOKOUT POINT DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698522",
            "telephone_number": "901-497-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12431 LOOKOUT POINT DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698522",
            "telephone_number": "901-497-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EANES",
        "first_name": "ERIC",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101053183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Rising Health Services, PLLC
• Eagle Therapeutic Services PLLC
• Eagles Will NC LLC
• Kathyrn Grace Eaker, MD
• Tracy Nicole Eakins, SLP
• Robin Taylor Eanes, AGNP-C
• Leang K. Eap, N.D.
• Ear Nose Throat & Audiology Associates of the Carolinas, P.a.
• Ear RX, Inc.
• Terilynn Suenai Ear

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.