NPIMap

Individual provider Active NPI

Ebonee Carter, M.D.

  • Diagnostic Radiology Physician
  • Fort Stewart, GA
National Provider Identifier
1437411535
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
78489 Issued in AZ
Practice address
1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone
(912) 435-6965
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 78489 AZ Primary
Diagnostic Radiology Physician 2085R0202X 3281205 ID

Addresses

Primary practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Mailing address

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone (912) 435-6965

Other practice location 1

7717 N Hartman Ln
Tucson, AZ 85743-5800
Phone (888) 233-6121

Other practice location 2

1661 E Camelback Rd Ste 160
Phoenix, AZ 85016-3921
Phone (623) 231-3686

Other practice location 3

1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center, HI 96859-5001
Phone (515) 491-2385

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028001116 PA Practitioner - Diagnostic Radiology 7618241738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Phone (570) 826-7300

1020 Thompson St
Jersey Shore, PA 17740-1729
Phone (570) 398-1991

120 Hamm Dr
Lewisburg, PA 17837-7496
Phone (570) 522-9400

126 Market Way
Mt Pocono, PA 18344-1039
Phone (570) 839-3633

132 Abigail LN
Port Matilda, PA 16870-7153
Phone (814) 272-7100

1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 969-7355

21 Geisinger LN
Lewistown, PA 17044-3400
Phone (717) 242-4200

25 Church St
Wilkes Barre, PA 18702-3507
Phone (570) 808-3181

255 Route 220 Hwy
Muncy, PA 17756-7569
Phone (570) 308-2600

400 Highland Ave
Lewistown, PA 17044-1167
Phone (717) 363-9071

4200 Hospital Rd
Coal Township, PA 17866-9668
Phone (570) 644-4200

4203 Hospital Rd
Coal Township, PA 17866-9668
Phone (570) 648-4010

435 Scranton Carbondale Hwy
Scranton, PA 18508-1115
Phone (570) 343-4334

531 Mt Pleasant Dr
Scranton, PA 18503-1987
Phone (570) 342-8500

545 Fair St
Bloomsburg, PA 17815-1419
Phone (570) 387-2011

549 Fair St
Bloomsburg, PA 17815-1419
Phone (570) 387-2251

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.15 of 100Reported as apm
Quality
83.54
Promoting interoperability
94.52
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.15 of 100Reported as apm
Quality
83.54
Promoting interoperability
94.52
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD17624HIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Assured Imaging Womens Wellness of Washington, LLC Diagnostic Radiology CurrentSince Dec 9, 2025 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Oct 14, 2024 Accepting new patients
Assured Imaging Women's Wellness of Southern Arizona, LLC Diagnostic Radiology CurrentSince Dec 9, 2025 Accepting new patients
Assured Imaging Women's Wellness of Southern Arizona, LLC Diagnostic Radiology CurrentSince Dec 9, 2025 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology Current Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology CurrentSince Oct 14, 2024 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Oct 14, 2024 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Oct 14, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
Assured Imaging Womens Wellness of Southern Arizona LLC Diagnostic Radiology PastSince Dec 9, 2025 Accepting new patients

Locations

9180 E Desert Cove Ave
Ste 102
Scottsdale, AZ 85260

7717 N Hartman Ln
Tucson, AZ 85743
Phone (520) 744-6121

100 N Academy Ave
Danville, PA 17822

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 59

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

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1437411535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-6965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7717 N Hartman Ln",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857435800",
            "country_code": "US",
            "telephone_number": "888-233-6121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1661 E Camelback Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850163921",
            "country_code": "US",
            "telephone_number": "623-231-3686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Jarrett White Rd",
            "address_2": "Tripler Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Tripler Army Medical Center",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "515-491-2385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "EBONEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "78489",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "3281205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stewart, GA

Sources for this page

Verify at the official NPI Registry.