CAROL JOHNSON EBERSOLE (MD) – Vascular & Interventional Radiology Physician, NPI 1770555641

CAROL JOHNSON EBERSOLE (MD) is a healthcare provider. based in Lakeland, Florida. specializing in Vascular & Interventional Radiology Physician. They hold the professional credentials MD. They hold a License No. ME55491 (FL). The NPI Number for CAROL JOHNSON EBERSOLE (MD) is 1770555641

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
CAROL JOHNSON EBERSOLE (MD)
NPI
1770555641
Phone
(863) 680-7000
Address
1600 LAKELAND HILLS BLVD
Enumeration Date
6 February 2006
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
8636807000
Graduation Year
1987 (39 years ago)
PAC ID
3375518533
Group Practice PAC ID
1456258979
Professional Enrollment ID
I20090622000371

Contacts

Secure Messaging
cebersole6613@direct.watsonclinicad.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for CAROL JOHNSON EBERSOLE (MD)

  • 1600, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 338053019

    Phone: (863) 680-7000

    Fax: (866) 264-8519

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33805)

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Provider's Procedures

CAROL JOHNSON EBERSOLE (MD) performs procedures in Vascular & Interventional Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL RADIOLOGYFL71010X-ray of chest, 1 view, front244230
INTERVENTIONAL RADIOLOGYFL77012Radiological supervision and interpretation of CT guidance for needle insertion2323
INTERVENTIONAL RADIOLOGYFL93926Ultrasound study of arteries and arterial grafts of one leg or limited1616
INTERVENTIONAL RADIOLOGYFL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers228221

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456258979View full group profile
NameSpecialtyState
Internal MedicineFL
A N E S T H E S I O L O G YFL
-FL
Physical Therapist In Private PracticeFL
Pulmonary Disease, Internal MedicineFL
-FL
Nurse PractitionerFL
Emergency MedicineFL
-FL
Nurse PractitionerFL

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Frequently asked questions

What is CAROL JOHNSON EBERSOLE (MD)'s NPI number?
CAROL JOHNSON EBERSOLE (MD)'s NPI is 1770555641 — the number used across U.S. healthcare to identify this provider.
Would CAROL JOHNSON EBERSOLE (MD) appear as active to a payer?
You can treat CAROL JOHNSON EBERSOLE (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for CAROL JOHNSON EBERSOLE (MD)?
At a glance, CAROL JOHNSON EBERSOLE (MD) is tied to Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CAROL JOHNSON EBERSOLE (MD)?
Travel planning: use Lakeland, Florida as the reference point for CAROL JOHNSON EBERSOLE (MD), then confirm.
Can I trust this NPI listing for CAROL JOHNSON EBERSOLE (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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