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DR. ANDREW JOSEPH EBNER MD
NPI 1073001871
Psychiatry & Neurology - Child & Adolescent Psychiatry in Atlanta, GA

Active since April 26, 2018PECOS Enrolled
1605 CHANTILLY DR NE, ATLANTA, GA 30324(404) 785-7878 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2019, Apr 26, 2018 (2 updates tracked since 2018).

About Dr. Andrew Joseph Ebner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW JOSEPH EBNER MD (NPI 1073001871) is an individual child & adolescent psychiatry provider in Atlanta, Georgia, licensed in Georgia (91998) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073001871
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. ANDREW JOSEPH EBNERCredential: MD
Location Address1605 CHANTILLY DR NEAtlanta, GA 30324-3267
Mailing Address1575 Northeast Expy NeBrookhaven, GA 30329-2317
Phone(404) 785-7878
Sole ProprietorYes
Enumeration DateApril 26, 2018
Last NPPES UpdateSeptember 13, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2023
✔ NPI 1073001871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in GA · 91998
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1605 CHANTILLY DR NE, Atlanta, GA 30324
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Joseph Ebner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Ebner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emory Medical Care Foundation Inc
5.4 mi
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOELLE BRYK PSYD
Psychologist (Clinical)
1605 CHANTILLY DR NE, SUITE 110
ATLANTA, GA 30324
Fulton County (404) 785-5437
ANDREA ZAWOYSKI PHD
Psychologist
1605 CHANTILLY DR NE, SUITE 110
ATLANTA, GA 30324
Fulton County (404) 785-5437
GRETCHEN WEEKS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1605 CHANTILLY DR NE, SUITE 110
ATLANTA, GA 30324
Fulton County (404) 785-5437
CRAWFORD LONG HOSPITAL
Surgery (Vascular Surgery)
1605 CHANTILLY DR NE, STE 301
ATLANTA, GA 30324
Fulton County (404) 778-3712
CAITLIN E BASCLE RDN, LD
Dietitian, Registered
1605 CHANTILLY DR NE
ATLANTA, GA 30324
Fulton County (404) 727-5728
TRISHA SHETH ACNP
Nurse Practitioner (Acute Care)
1605 CHANTILLY DR NE
ATLANTA, GA 30324
Fulton County (404) 257-0006
STACEY B JONES LCSW
Social Worker (Clinical)
1605 CHANTILLY DR NE, SUITE 110
ATLANTA, GA 30324
Fulton County (404) 785-5437
SALLIE LIVINGSTON LCSW
Social Worker (Clinical)
1605 CHANTILLY DR NE, SUITE 110
ATLANTA, GA 30324
Fulton County (404) 785-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Ebner's NPI number?

The NPI number for Andrew Ebner is 1073001871. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Andrew Ebner located?

Andrew Ebner practices at 1605 Chantilly Dr NE, Atlanta, GA 30324. The listed phone number is (404) 785-7878.

What is Andrew Ebner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Andrew Ebner enrolled in Medicare?

Yes. Andrew Ebner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Ebner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Ebner reassigns Medicare benefits to Emory Medical Care Foundation Inc (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Ebner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Ebner was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.