Callie Jo Phillips Eubanks

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9112479 Issued in FL

Practice address

1234 SE Magnolia Ext Unit 1
Ocala, FL 34471-3770

Phone

(352) 401-1000

NPI assigned

Sep 17, 2019

Last updated

Mar 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: callie.phillips@hca5.eclinicaldirectplus.com

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.

• Ocala Health Trauma, LLC

  • Trauma Surgery Physician
  • Ocala, FL
  • NPI 1093063869
  Medicare reassignment
• Ocala Health Surgical Group LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ocala, FL
  • NPI 1659540524
  NPD
• John W Grace MD PA

  • Psychiatry Physician
  • Crystal River, FL
  • NPI 1891982294
  NPD (past)

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1811547326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 SE MAGNOLIA EXT UNIT 1",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713770",
            "telephone_number": "352-401-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17805 N US Highway 301",
            "address_purpose": "LOCATION",
            "city": "Citra",
            "state": "FL",
            "postal_code": "321132459",
            "country_code": "US",
            "telephone_number": "352-595-7777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6226 W Corporate Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344298723",
            "country_code": "US",
            "telephone_number": "352-795-2246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "CALLIE",
        "middle_name": "JO PHILLIPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2022-03-17",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9112479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Brian Ethier, MD
• Ethos Health Group Injury LLC
• Ethos Health Group Specialists, LLC
• Ethos Health Group Tbi Specialists, LLC
• Ethos Health Group, LLC
• Laura Eubanks
• Angela Gray Eucker
• Shahab Eunus, M.D
• Vladlena Eunus
• Cesar A Euribe, MD

• Physician Assistant in Ocala, FL
• Providers in Ocala, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.