Family Foot and Ankle Specialists of the Carolinas PLLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

494 Issued in NC

Legal business name

FAMILY FOOT AND ANKLE SPECIALISTS OF THE CAROLINAS PLLC

Practice address

1548 Union Rd Ste D
Gastonia, NC 28054-5530

Phone

(704) 610-7474

NPI assigned

Aug 23, 2018

Organization subpart

No

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

Authorized official

Name

Melanie Jessup Eubanks, DPMNPI 1780634386

Title

Owner

Phone

(704) 674-9272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melanie Jessup Eubanks, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gastonia, NC
  • NPI 1780634386
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1730660200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 UNION RD STE D",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545530",
            "telephone_number": "704-610-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 UNION RD STE D",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545530",
            "telephone_number": "704-610-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOOT AND ANKLE SPECIALISTS OF THE CAROLINAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "EUBANKS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "JESSUP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-674-9272",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot Surgery Podiatrist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Foot Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.