Individual provider Active NPI

Eboni X Carter, MD

  • Family Medicine Physician
  • Portsmouth, VA
National Provider Identifier
1427021724
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101236065 Issued in VA
Practice address
2929 London Blvd
Portsmouth, VA 23707-3405
Phone
(757) 861-9010
Fax
(757) 861-9011
NPI assigned
Feb 8, 2006
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101236065 VA Primary

Addresses

Primary practice location

2929 London Blvd
Portsmouth, VA 23707-3405

Mailing address

3575 Bridge Rd Ste 8
Box 256
Suffolk, VA 23435-1800
Phone (757) 349-6381

Other identifiers 3

IdentifierTypeStateIssuer
143466OtherVAANTHEM
010071216MedicaidVA
78032OtherVASENTARA/OPTIMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040712001343 VA Practitioner - Family Practice 8123006442 Reassigns benefits to 1 organization
I20260226000531 TX Practitioner - Family Practice 8123006442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4618 W Birdie Way
South Jordan, UT 84009-2793

500 E Main St
Suite 1301
Norfolk, VA 23510-2206

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101236065VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC Family Medicine CurrentSince Aug 1, 2004 Accepting new patients
Fishing Point Health Care LLC Family Medicine CurrentSince Dec 9, 2025 Accepting new patients
Bayview Physician Services, PC CurrentSince Aug 1, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients
Bayview Physician Services, PC Past Accepting new patients

Locations

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

675 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 436-7888

500 E Main St
Ste 1301
Norfolk, VA 23510
Phone (757) 861-9020

2929 London Blvd
Portsmouth, VA 23707
Phone (757) 397-1201

4868 Bridge Rd
Suffolk, VA 23435
Phone (757) 483-7113

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1427021724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 BRIDGE RD STE 8",
            "address_2": "BOX 256",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351800",
            "telephone_number": "757-349-6381",
            "fax_number": "757-991-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 LONDON BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073405",
            "telephone_number": "757-861-9010",
            "fax_number": "757-861-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "EBONI",
        "middle_name": "X",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101236065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "143466",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010071216",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA/OPTIMA",
            "identifier": "78032",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.