Individual provider Active NPI

Travis A Eubanks, DO

  • Emergency Medicine Physician
  • Tupelo, MS
National Provider Identifier
1982265344
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
30291 Issued in MS
Practice address
830 S Gloster St
Tupelo, MS 38801-4934
Phone
(662) 432-4106
NPI assigned
Jun 26, 2019
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 30291 MS Primary
Family Medicine Physician 207Q00000X 30291 MS

Addresses

Primary practice location

830 S Gloster St
Tupelo, MS 38801-4934

Mailing address

111 Live Oak CT
New Smyrna Beach, FL 32168-7923
Phone (386) 848-0907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, FL, AL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221027001611 MS Practitioner - Family Practice 2769859172 Reassigns benefits to 9 organizations
I20230627001490 FL Practitioner - Emergency MedicinePractitioner - Family Practice 2769859172 Reassigns benefits to 2 organizations
I20241102000112 AL Practitioner - Hospitalist 2769859172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Alabama College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relias Emergency Medicine Specialists of West Point, LLCGroup PAC ID 0042648594, 24 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians
Relias Emergency Medicine Specialists of Regional, LLCGroup PAC ID 9436401106, 29 clinicians

Practice addresses (Care Compare)

150 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 495-2300

4600 SW 46TH CT
Ocala, FL 34474-5708
Phone (352) 291-3000

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 759-7111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30291MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 3, 2025 Accepting new patients
RH Emergency Medicine of Och Regional LLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Relias Hospitalist Medicine Specialists of Amory LLC CurrentSince Jul 20, 2022 Accepting new patients
Relias Emergency Medicine Specialists of Amory, LLC Emergency Medicine CurrentSince Jul 20, 2022 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC Emergency Medicine CurrentSince Feb 7, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Dec 8, 2022 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Relias Emergency Medicine Specialists of Regional, LLC Emergency Medicine CurrentSince Jun 23, 2024 Accepting new patients
Relias Emergency Medicine Specialists of Northport, LLC Emergency Medicine CurrentSince Aug 16, 2024 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Jan 5, 2023 Accepting new patients
Relias Hospitalist Medicine Specialists of West Point LLC CurrentSince Jul 20, 2022 Accepting new patients
Relias Emergency Medicine Specialists of Tupelo LLC Emergency Medicine CurrentSince Jul 20, 2022 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Dec 29, 2023 Accepting new patients
Pontotoc Health Services, Inc. CurrentSince Jan 5, 2023 Accepting new patients
Relias Hospitalist Medicine Specialists of Pontotoc LLC CurrentSince Jul 20, 2022 Accepting new patients

Locations

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

176 S Main St
Pontotoc, MS 38863
Phone (601) 489-5510

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

400 Hospital Rd
Starkville, MS 39759
Phone (662) 323-4320

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: traviseubanks@nmhs.medalliesdirect.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1982265344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LIVE OAK CT",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687923",
            "telephone_number": "386-848-0907",
            "fax_number": "276-679-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-432-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "TRAVIS",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "30291",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "30291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.