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LOGAN TAYLOR EUBANKS MD
NPI 1174317556
Student in an Organized Health Care Education/Training Program in Norfolk, VA

Active since April 08, 2025PECOS Enrolled
PO BOX 1980, NORFOLK, VA 23501(757) 446-8950 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Logan Taylor Eubanks Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN TAYLOR EUBANKS MD (NPI 1174317556) is an individual student in an organized health care education/training program in Norfolk, Virginia and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174317556
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLOGAN TAYLOR EUBANKSCredential: MD
Location AddressPO BOX 1980Norfolk, VA 23501-1980
Mailing AddressPo Box 1980Norfolk, VA 23501-1980
Phone(757) 446-8950
Sole ProprietorNo
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1174317556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
PO BOX 1980, Norfolk, VA 23501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Taylor Eubanks Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCY PAGE KELLY DO
Student in an Organized Health Care Education/Training Program
PO BOX 1980
NORFOLK, VA 23501
Norfolk City (757) 446-7900
AMANDA ALONSO VALLE MD
Student in an Organized Health Care Education/Training Program
PO BOX 1980
NORFOLK, VA 23501
Norfolk City (757) 446-6191
LANA EL KASSIS MD
Student in an Organized Health Care Education/Training Program
PO BOX 1980
NORFOLK, VA 23501
Norfolk City (757) 446-6190
ABBY SMITS
Student in an Organized Health Care Education/Training Program
PO BOX 1980
NORFOLK, VA 23501
Norfolk City (757) 446-7934
MARIE MACK MD
Student in an Organized Health Care Education/Training Program
PO BOX 1980
NORFOLK, VA 23501
Norfolk City (757) 388-1141
DR. DANIEL BOCZAR LINS SANTANA MD
Student in an Organized Health Care Education/Training Program
PO BOX 1980
NORFOLK, VA 23501
Norfolk City (757) 446-8937
NOAH RICHMOND MD
Student in an Organized Health Care Education/Training Program
PO BOX 1980
NORFOLK, VA 23501
Norfolk City (757) 466-8937
JANET K KEMPF
Counselor (Mental Health)
PO BOX 1980
NORFOLK, VA 23501
Norfolk City (757) 446-5895

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Eubanks's NPI number?

The NPI number for Logan Eubanks is 1174317556. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Logan Eubanks located?

Logan Eubanks practices at PO Box 1980, Norfolk, VA 23501. The listed phone number is (757) 446-8950.

What is Logan Eubanks's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Logan Eubanks enrolled in Medicare?

Yes. Logan Eubanks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Logan Eubanks was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.