Individual provider Active NPI

Andrew Ebner

  • Physician Assistant
  • Seneca, SC
National Provider Identifier
1225709280
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
201 Central Park LN
Seneca, SC 29678-1156
Phone
(864) 844-9432
Fax
(864) 844-9430
NPI assigned
Sep 21, 2021
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X KY Primary

Addresses

Primary practice location

201 Central Park LN
Seneca, SC 29678-1156

Mailing address

10 Financial Blvd
Anderson, SC 29621-1770
Phone (864) 844-9432

Other practice location 1

120 Pelham Ln
Anderson, SC 29621-3335
Phone (864) 844-9432

Other practice location 2

203 Central Park Ln
Seneca, SC 29678-1156
Phone (864) 844-9432

Other practice location 3

60 Bear Dr
Greenville, SC 29605-4458
Phone (864) 844-9432

Other practice location 4

3505 Pelham Rd Ste A2
Greenville, SC 29615-4154
Phone (864) 844-9432

Other practice location 5

1721 Ebenezer Rd Ste 265A
Rock Hill, SC 29732-4103
Phone (864) 844-9432

Other practice location 6

1071 Boiling Springs Rd
Spartanburg, SC 29303-2201
Phone (864) 844-9432

Other practice location 7

10 Financial Blvd
Anderson, SC 29621-1770
Phone (864) 844-9432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220210002719 KY Practitioner - Physician Assistant 5698168870 Reassigns benefits to 1 organization
I20250708003403 SC Practitioner - Physician Assistant 5698168870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Taral Sharma MD PCGroup PAC ID 0244568152, 27 clinicians

Practice addresses (Care Compare)

10 Financial Blvd
Anderson, SC 29621-1770
Phone (864) 844-9432

120 Pelham LN
Anderson, SC 29621-3335
Phone (864) 844-9432

201 Central Park LN
Seneca, SC 29678-1156
Phone (864) 844-9432

203 Central Park LN
Seneca, SC 29678-1156
Phone (864) 844-9432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1225709280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FINANCIAL BLVD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211770",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CENTRAL PARK LN",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781156",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Pelham Ln",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296213335",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Central Park Ln",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296781156",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Bear Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054458",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3505 Pelham Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154154",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1721 Ebenezer Rd Ste 265A",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297324103",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1071 Boiling Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293032201",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Financial Blvd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211770",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBNER",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-21",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.