Individual provider Active NPI

Ebony Williamson, PA-C

  • Physician Assistant
  • Brentwood, TN
National Provider Identifier
1417805839
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6956 Issued in TN
Practice address
1805 Williamson CT
Brentwood, TN 37027-8164
Phone
(615) 331-5536
NPI assigned
Mar 20, 2026
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 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 6956 TN Primary

Addresses

Primary practice location

1805 Williamson CT
Brentwood, TN 37027-8164

Mailing address

210 Founders Pointe Blvd
Franklin, TN 37064-0706
Phone (606) 595-7345

Other practice location 1

2602 Trotwood Ave
Columbia, TN 38401-4942
Phone (615) 331-5536

Other names 1

  • Ebony Burke Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260603001696 TN Practitioner - Physician Assistant 4486125150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Medicine and Rehabilitation Group PCGroup PAC ID 7214921840, 9 clinicians

Practice addresses (Care Compare)

1805 Williamson CT
Suite 200
Brentwood, TN 37027-8165
Phone (615) 331-5536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6956TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Medicine & Rehabilitation Group PC CurrentSince Apr 22, 2026 Accepting new patients

Locations

1805 Williamson Ct
Brentwood, TN 37027
Phone (615) 331-5536

1805 Williamson Ct
Ste 200
Brentwood, TN 37027
Phone (615) 331-5536

2602 Trotwood Ave
#100
Columbia, TN 38401
Phone (615) 331-5536

Organizations & group practices 1

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": "1773964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1417805839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FOUNDERS POINTE BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370640706",
            "telephone_number": "606-595-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 WILLIAMSON CT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278164",
            "telephone_number": "615-331-5536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Trotwood Ave",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384014942",
            "country_code": "US",
            "telephone_number": "615-331-5536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "EBONY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBONY",
            "last_name": "BURKE",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.