DR. KIM PATRICE EUBANKS (MD) – Family Medicine Physician, NPI 1093765521

DR. KIM PATRICE EUBANKS (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 26227 (AL). The NPI Number for DR. KIM PATRICE EUBANKS (MD) is 1093765521

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIM PATRICE EUBANKS (MD)
NPI
1093765521
Phone
(347) 262-3054
Address
541 10TH ST NW # 231
Enumeration Date
12 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
8138073338
Graduation Year
1999 (27 years ago)
PAC ID
7315998416
Group Practice PAC ID
4486025087
Professional Enrollment ID
I20050207000297
Address ID
AL352353103BI1430XHWYX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

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Provider Addresses for DR. KIM PATRICE EUBANKS (MD)

  • 231, 10th Street Northwest, Home Park, Atlanta, Fulton County, Georgia, 30318, United States

    ATLANTA, GA 303185713

    Phone: (347) 262-3054

    Type: Mailing

  • Winn Way, Decatur, DeKalb County, Georgia, 30030, United States

    DECATUR, GA 300301723

    Phone: (347) 262-3054

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050207000297IFamily PracticeALTBD
I20190308000682IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99441Telephone medical discussion with physician, 5-10 minutes221215$0
99442Telephone medical discussion with physician, 11-20 minutes124124$0
99443Telephone medical discussion with physician, 21-30 minutes4545$0
View full utilization report →

Insurance plans in this area (ZIP 30318)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486025087View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YCA
Internal Medicine, Addiction MedicineCA
General PracticeNY
Internal MedicineMI
Diagnostic Radiology, Family PracticeCA
Internal MedicineMD
Family PracticeFL
O B S T E T R I C S/ G Y N E C O L O G YWV

Reviews

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Frequently asked questions

What federal number belongs to DR. KIM PATRICE EUBANKS (MD)?
The federal identifier for DR. KIM PATRICE EUBANKS (MD) is NPI 1093765521.
Is DR. KIM PATRICE EUBANKS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. KIM PATRICE EUBANKS (MD)?
The page reflects Family Medicine Physician for DR. KIM PATRICE EUBANKS (MD). Clinical services aligned with this taxonomy classification.
Does DR. KIM PATRICE EUBANKS (MD) practice in Georgia?
You will see Atlanta, Georgia on file for DR. KIM PATRICE EUBANKS (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.