Ebony Irvin, CCMA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

M5Y3S8K8 Issued in VA

Practice address

1258 Holland Rd
Suffolk, VA 23434-6313

Phone

(877) 848-9810

NPI assigned

Sep 8, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Ebony Griffin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1265312334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 HOLLAND RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346313",
            "telephone_number": "877-848-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 HOLLAND RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346313",
            "telephone_number": "877-848-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "EBONY",
        "credential": "CCMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "M5Y3S8K8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBONY",
            "last_name": "GRIFFIN",
            "prefix": "MRS.",
            "credential": "CCMA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Institute for Family Centered Services
• Integrity Healthcare Solutions LLC
• Integrity Healthcare Solutions LLC
• International Healthcare Associates
• Jeanne Ireland, OTR/L
• Whitney Witt Irvine, MSN, APRN, FNP-C
• Robin McKay Isdell
• Carina Iskandir, MD
• Caroline M. Isoe, PMHNP-BC
• It'S Okay to Not Be Okay Counseling, LLC

• Medical Physician Assistant in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.