EBONY JUAKALI M.D. – NPI #1376905901
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

EBONY JUAKALI is a physician located in SLIDELL, LA. NPPES has assigned the NPI number 1376905901 to EBONY JUAKALI on March 23, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Mar 02, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EBONY JUAKALI below.

The provider associated with this NPI number, 1376905901, has been excluded by the Office of Inspector General.

Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or indirectly by the United States (other than the Federal Employees Health Benefits Plan). Office of Inspector General

NPI Profile for
EBONY JUAKALI

NPI Number
1376905901
Enumeration Date

(more than 10 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
EBONY JUAKALI
Credentials
M.D.
Primary location
2750 GAUSE BLVD E
SLIDELL, LA 70461-4149
Phone: (985) 639-3777 Fax: (985) 639-3701
2 Other location(s):
125 S 28th Ave
Hattiesburg, MS 39401-7152
Phone: (601) 288-4305
120 5th Ave
McComb, MS 39648
Phone: (601) 249-0013
Mailing address
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121-2429
Phone: (504) 842-4000 Fax:
Sole Proprietor
No
Updated
Certification Date
Mar 02, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for EBONY JUAKALI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS08204878
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 LA 325147
208M00000X
- Hospitalist		 MS 25251
207P00000X
- Emergency Medicine		 MS 25251

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Affiliations
EBONY JUAKALI is affiliated with the following medical group(s):
  • HOSPITAL
    • FRANKLIN MEDICAL CENTER
      2106 LOOP ROAD
      WINNSBORO, LA 71295
    • RAPIDES REGIONAL MEDICAL CENTER
      211 4TH STREET
      ALEXANDRIA, LA 71301
    • RIVERLAND MEDICAL CENTER
      6569 HWY 84
      FERRIDAY, LA 71334

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.