EBONY JUAKALI M.D. NPI 1376905901

NPI Information

  • NPI: 1376905901
  • Provider Name: EBONY JUAKALI, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 2750 GAUSE BLVD E
    SLIDELL, LA
    ZIP 70461
  • Phone: (985) 639-3777

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NPI Details

Ebony Juakali, M.D. is a family medicine in Slidell, LA. The provider is 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. Ebony Juakali, M.D. NPI is 1376905901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2750 GAUSE BLVD E
SLIDELL, LA
ZIP 70461-149
Phone: (985) 639-3777
Fax: (985) 639-3701

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)

The enumeration date for this NPI number is 3/23/2016 and was last updated on 3/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine25251MISSISSIPPINo
2207Q00000XFamily Medicine325147LOUISIANAYes
3207Q00000XFamily Medicine25251MISSISSIPPINo
4208M00000XHospitalist25251MISSISSIPPINo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
108204878MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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