Mark H Ebell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

032724 Issued in GA

Practice address

150 Yonah Ave
Athens, GA 30601-1740

Phone

(706) 549-9195

Fax

(866) 349-3527

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Athens Family Medicine LLC

  • Family Medicine Physician
  • Athens, GA
  • NPI 1427418391
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982602520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 YONAH AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011740",
            "telephone_number": "706-549-9195",
            "fax_number": "866-349-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 YONAH AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011740",
            "telephone_number": "706-549-9195",
            "fax_number": "866-349-3527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBELL",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "032724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Athens Family Vision, LLC
• East Athens Physical Therapy Inc
• Kjesti Easton, MA
• Eating Disorder Recovery Center of Athens, PC
• Eating Disorders Recovery Center
• Lindsey Eberhart, CST
• Kelsey Eberlin, PHARM.D.
• Fredrick Eckhardt, LMFT, LPC
• Jane Elizabeth Edmonds, PH.D.
• John Edry, MD

• Family Medicine Physician in Athens, GA
• Providers in Athens, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.