Individual provider Active NPI

Eboni Christina January, M.D.

  • Obstetrics & Gynecology Physician
  • Potsdam, NY
National Provider Identifier
1851602593
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
300032 Issued in NY
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

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20140708001149 MO Practitioner - Obstetrics/Gynecology 8426273434 Reassigns benefits to 1 organization
I20200211000615 NY Practitioner - Obstetrics/Gynecology 8426273434 Reassigns benefits to 3 organizations
I20200811002615 FL Practitioner - Obstetrics/Gynecology 8426273434 Reassigns benefits to 1 organization
I20220921004020 TX Practitioner - Obstetrics/Gynecology 8426273434 Reassigns benefits to 1 organization
I20231130000942 WI Practitioner - Obstetrics/Gynecology 8426273434 Reassigns benefits to 1 organization
I20240806001622 VA Practitioner - Obstetrics/Gynecology 8426273434 Reassigns benefits to 1 organization
I20250811002741 NC Practitioner - Obstetrics/Gynecology 8426273434 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73007AZMDObstetrics & Gynecology Physician
C184151CAMDObstetrics & Gynecology Physician
64605CTMDObstetrics & Gynecology Physician
MD210001911DCMDObstetrics & Gynecology Physician
91849GAMDObstetrics & Gynecology Physician
036150150ILMDObstetrics & Gynecology Physician
D0099074MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canton-Potsdam Hospital CurrentSince Jun 18, 2024 Accepting new patients
Outer Banks Professional Services, LLC Obstetrics & Gynecology CurrentSince Jul 28, 2025 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Feb 1, 2024 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jun 18, 2024 Accepting new patients
The Health & Wellness Centerr LLC CurrentSince Oct 10, 2018 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Oct 24, 2023 Accepting new patients
RMH Medical Group LLC CurrentSince Apr 11, 2024 Accepting new patients
MD January PLLC Current Accepting new patients
St Josephs Medical PC CurrentSince Feb 1, 2020 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince May 2, 2020 Accepting new patients
St Joseph's Hospital Health Center Obstetrics & Gynecology CurrentSince Jan 8, 2020 Accepting new patients
RMH Medical Group LLC CurrentSince Apr 11, 2024 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 CurrentSince Jan 8, 2020 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 16, 2025 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Oct 24, 2023 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince May 2, 2020 Accepting new patients
My Vita Women S Wellness Center PLLC Obstetrics & Gynecology PastSince Aug 23, 2022 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

  • FHIR API: https://api.platform.athenahealth.com/18199/brand/1/csg/1/fhir/r4
  • Direct secure messaging: eboni.january@444021324382212.direct.elationemr.com
  • Direct secure messaging: eboni.january@493341706813444.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/11541/brand/61/csg/841/fhir/r4
  • Direct secure messaging: 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.

View all 20

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

Verify at the official NPI Registry.