EBBA K. EBBA (M.D) – Pediatrics Physician, NPI 1609857341
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for EBBA K. EBBA (M.D)
Falls Road, Toccoa, Stephens County, Georgia, 30577, United States
TOCCOA, GA 30577
Phone: (706) 282-7337
Fax: (706) 898-5919
Type: Location
PO BOX 649
FORT DEFIANCE, AZ 865040649
Phone:
Type: Mailing
Stephens County Hospital, 163, Hospital Drive, Toccoa, Stephens County, Georgia, 30577, United States
TOCCOA, GA 305776820
Phone: (706) 282-4200
Fax: (706) 886-8045
Type: Mailing
720 WESTVIEW DRIVE SW
HARRIS BLDG., 100-A
ATLANTA, GA 30310
Phone:
Type: Mailing
455 LEE ST SW FL 2
ATLANTA, GA 303101408
Phone: (404) 752-1000
Fax: (404) 752-1191
Type: Location
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 865040649
Phone: (928) 729-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $88.
Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Novo Nordisk Inc ($70).
Total Amount
$88
General + Research + Ownership
Payments
2
Total payment records
General Amount
$88
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $70 |
| Novartis Pharmaceuticals Corporation | $18 |
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: 2025-03-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20180730001749 | I | Pediatric Medicine | GA | TBD |
| I20231207002029 | I | Pediatric Medicine | WV | TBD |
| I20250328001210 | I | Pediatric Medicine | TX | 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 30577)
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