DR. MATTHEW DANIEL SR. EBERLY (MD) – Pediatric Infectious Diseases Physician, NPI 1346431905
Pediatric Infectious Diseases Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
496 PEDIATRIC MEDICINE in GA
Provider Addresses for DR. MATTHEW DANIEL SR. EBERLY (MD)
1447 Harper St Ste 3D
Augusta, GA 309120020
Phone: (706) 721-5437
Fax: (706) 721-9714
Type: Location
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 782344504
Phone: (210) 539-9582
Type: Location
WALTER REED ARMY MEDICAL CENTER DEPT OF PEDIATRICS
6900 GEORGIA AVE, NW
WASHINGTON, DC 203070001
Phone: (202) 782-9774
Fax: (202) 782-9469
Type: Location
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 782344504
Phone: (210) 539-9582
Type: Location
WALTER REED ARMY MEDICAL CENTER
6900 GEORGIA AVE, NW
WASHINGTON, DC 203070001
Phone: (202) 782-9774
Fax: (202) 782-9469
Type: Mailing
1120 15th St
Augusta, GA 309124504
Phone: (706) 721-8623
Type: Location
1120 15TH ST
AUGUSTA, GA 309124504
Phone: (706) 721-8623
Type: Location
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250305001699 | I | Pediatric Medicine | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 30912)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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