Active NPI
Ebony Eddy, PA-C
- Physician Assistant
- West River, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0009500
- Practice address
- 134 Owensville Rd
West River, MD 20778-9702 - Phone
- (410) 867-4700
- NPI assigned
- Dec 12, 2023
- Last updated
- Aug 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0009500 | MD | Primary |
Addresses
Primary practice location
134 Owensville Rd
West River, MD 20778-9702
Mailing address
134 Owensville Rd
West River, MD 20778-9702
Phone (410) 867-4700
Other practice location 1
5408 Southern Maryland Blvd
Lothian, MD 20711-2601
Phone (410) 867-4700
Other practice location 2
6131 Shady Side Rd
Shady Side, MD 20764-9504
Phone (410) 867-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
32033 Beaver Run Dr
Salisbury, MD 21804-1773
Phone (410) 749-1015
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Lower Counties Community Services, Inc. | Current | Accepting new patients | |
| Three Lower Counties Community Services Inc | Current | Accepting new patients | |
| Three Lower Counties Community Services, Inc. | Current | Accepting new patients | |
| Three Lower Counties Community Services, Inc. | Past | Accepting new patients |
Locations
12137 Elm St
Princess Anne, MD 21853
Phone (410) 651-1000
12145 Elm St
Princess Anne, MD 21853
Phone (410) 651-2204
1665 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 546-6650
Interoperability endpoints
- ebony.eddy.1@3167.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba Chesapeake Health Care
- Federally Qualified Health Center (FQHC)
- Princess Anne, MD
- NPI 1154354744
-
dba Delmarva Pharmacy
- Community/Retail Pharmacy
- Salisbury, MD
- NPI 1194768473
-
- Federally Qualified Health Center (FQHC)
- Salisbury, MD
- NPI 1275405714
-
dba Chesapeake Health Care
- Federally Qualified Health Center (FQHC)
- Princess Anne, MD
- NPI 1407849920
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salisbury, MD
- NPI 1811976418
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1144097973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 OWENSVILLE RD",
"city": "WEST RIVER",
"state": "MD",
"postal_code": "207789702",
"telephone_number": "410-867-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 OWENSVILLE RD",
"city": "WEST RIVER",
"state": "MD",
"postal_code": "207789702",
"telephone_number": "410-867-4700"
}
],
"practiceLocations": [
{
"address_1": "5408 Southern Maryland Blvd",
"address_purpose": "LOCATION",
"city": "Lothian",
"state": "MD",
"postal_code": "207112601",
"country_code": "US",
"telephone_number": "410-867-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6131 Shady Side Rd",
"address_purpose": "LOCATION",
"city": "Shady Side",
"state": "MD",
"postal_code": "207649504",
"country_code": "US",
"telephone_number": "410-867-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDDY",
"first_name": "EBONY",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-12",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0009500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West River, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.