Active NPI
Eboni Christina January, M.D.
- Obstetrics & Gynecology Physician
- Potsdam, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 300032
- Practice address
- 50 Leroy St
Potsdam, NY 13676-1799 - Phone
- (315) 265-3300
- Fax
- (315) 261-6410
- NPI assigned
- Jun 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | T9136 | TX | |
| Obstetrics & Gynecology Physician | 207V00000X | 3551-320 | WI | |
| Obstetrics & Gynecology Physician | 207V00000X | 73007 | AZ | |
| Obstetrics & Gynecology Physician | 207V00000X | D0099074 | MD | |
| Obstetrics & Gynecology Physician | 207V00000X | 91849 | GA | |
| Obstetrics & Gynecology Physician | 207V00000X | 64605 | CT | |
| Obstetrics & Gynecology Physician | 207V00000X | ME143577 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | MD210001911 | DC | |
| Obstetrics & Gynecology Physician | 207V00000X | 036150150 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | C184151 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | 2023-00015 | NC | |
| Obstetrics & Gynecology Physician | 207V00000X | 0101280447 | VA | |
| Obstetrics & Gynecology Physician | 207V00000X | 2014012421 | MO | |
| Obstetrics & Gynecology Physician | 207V00000X | 300032 | NY | Primary |
Addresses
Primary practice location
50 Leroy St
Potsdam, NY 13676-1799
Mailing address
910 Morrison Ave
Saint Louis, MO 63104-3537
Phone (573) 268-4830
Other practice location 1
2291 Evelyn Byrd Ave
Harrisonburg, VA 22801-5424
Phone (540) 564-5790
Other practice location 2
4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, NY, FL, TX, WI, VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73007 | AZ | MD | Obstetrics & Gynecology Physician |
| C184151 | CA | MD | Obstetrics & Gynecology Physician |
| 64605 | CT | MD | Obstetrics & Gynecology Physician |
| MD210001911 | DC | MD | Obstetrics & Gynecology Physician |
| 91849 | GA | MD | Obstetrics & Gynecology Physician |
| 036150150 | IL | MD | Obstetrics & Gynecology Physician |
| D0099074 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Outer Banks Professional Services, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| The Health & Wellness Centerr LLC | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| RMH Medical Group LLC | Current | Accepting new patients | |
| MD January PLLC | Current | Accepting new patients | |
| St Josephs Medical PC | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| St Joseph's Hospital Health Center | Obstetrics & Gynecology | Current | Accepting new patients |
| RMH Medical Group LLC | Current | Accepting new patients | |
| Healing Hands Healthcare Services, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| North Medical PC | Obstetrics & Gynecology | Current | Accepting new patients |
| St Josephs Hospital Health Center | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| My Vita Women S Wellness Center PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations (25 of 32)
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
1600 S Andrews Ave
Rm 342
Ft Lauderdale, FL 33316
Phone (954) 355-5110
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
9717 Landmark Parkway Dr
Ste 115
Saint Louis, MO 63127
Phone (314) 722-6555
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500
250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699
5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000
Interoperability endpoints
- https://api.platform.athenahealth.com/18199/brand/1/csg/1/fhir/r4
- eboni.january@444021324382212.direct.elationemr.com
- eboni.january@493341706813444.direct.elationemr.com
- https://api.platform.athenahealth.com/11541/brand/61/csg/841/fhir/r4
- ejanuary526408@direct.ecuhealth.com
Organizations & group practices 20
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.
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
dba Outer Banks Hospital Urgent Care
- Multi-Specialty Clinic/Center
- Nags Head, NC
- NPI 1891050357
Obstetrics & Gynecology
-
dba Sentara RMH Medical Group
- General Practice Physician
- Rockingham, VA
- NPI 1669844908
-
- Primary Care Nurse Practitioner
- Saint Louis, MO
- NPI 1932627486
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Primary Care Clinic/Center
- Miami, FL
- NPI 1689282162
Obstetrics & Gynecology
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1760189013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1851602593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 MORRISON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631043537",
"telephone_number": "573-268-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LEROY ST",
"city": "POTSDAM",
"state": "NY",
"postal_code": "136761799",
"telephone_number": "315-265-3300",
"fax_number": "315-261-6410"
}
],
"practiceLocations": [
{
"address_1": "2291 Evelyn Byrd Ave",
"address_purpose": "LOCATION",
"city": "Harrisonburg",
"state": "VA",
"postal_code": "228015424",
"country_code": "US",
"telephone_number": "540-564-5790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 S Croatan Hwy",
"address_purpose": "LOCATION",
"city": "Nags Head",
"state": "NC",
"postal_code": "279599704",
"country_code": "US",
"telephone_number": "252-449-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANUARY",
"first_name": "EBONI",
"middle_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "T9136",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "3551-320",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "73007",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0099074",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "91849",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "64605",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME143577",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "DC",
"license": "MD210001911",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036150150",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "C184151",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2023-00015",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101280447",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2014012421",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "300032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Potsdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.