Kelly Marie Eubanks, B.A, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2491 Issued in AL

Practice address

7921 Tanner Williams Rd
Mobile, AL 36608-8308

Phone

(251) 607-0040

NPI assigned

Apr 18, 2016

Last updated

Apr 18, 2016By the provider in NPPES

Sex

Female

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 GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Chiropractic and Massage, PC

  • Chiropractor
  • Holly Springs, GA
  • NPI 1023764172
  Medicare reassignment NPD
• South Alabama Chiropractic P.C.

  • Chiropractor
  • Mobile, AL
  • NPI 1013117969
  NPD (past)

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1790139509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7921 TANNER WILLIAMS RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366088308",
            "telephone_number": "251-607-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7921 TANNER WILLIAMS RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366088308",
            "telephone_number": "251-607-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "B.A, D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chaketta Ethridge
• Alexandria Maria Eubanks
• Ali McKay Eubanks
• April Henry Eubanks, PHARM D.
• Justin Boyd Eubanks, PHARMD
• Alicia Evans, M.D.
• Cameka F Evans, CRNP
• Carol Evans, OTR
• Charla J Evans, DO
• David Lloyd Evans, PH.D.

• Chiropractor in Mobile, AL
• Providers in Mobile, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.