Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. EBONY EDDY PA-C
NPI 1144097973
Physician Assistant in West River, MD

Q: What is Ebony Eddy's NPI number?

The NPI number for Ebony Eddy is 1144097973. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Q: What is Ebony Eddy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ebony Eddy was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

Active since December 12, 2023PECOS EnrolledAccepts Medicare Assignment

134 OWENSVILLE RD, WEST RIVER, MD 20778(410) 867-4700 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 6, 2026, Nov 15, 2024, Sep 9, 2024 and 2 more (5 updates tracked since 2023).

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About Ms. Ebony Eddy Pa-c NPPES

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

MS. EBONY EDDY PA-C (NPI 1144097973) is an individual physician assistant in West River, Maryland, licensed in Maryland (C0009500) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144097973

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. EBONY EDDYCredential: PA-C

Location Address134 OWENSVILLE RDWest River, MD 20778-9702

Mailing Address134 Owensville RdWest River, MD 20778-9702 · (410) 867-4700

Phone(410) 867-4700

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 12, 2023

Last NPPES UpdateAugust 6, 20265 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1144097973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MD · C0009500

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

134 OWENSVILLE RD, West River, MD 20778

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Secondary Practice Locations 2

Location 16131 Shady Side RdShady Side, MD 20764-9504 · Phone (410) 867-4700

Location 25408 Southern Maryland BlvdLothian, MD 20711-2601 · Phone (410) 867-4700

Other Identifiers 1

Medicaid119591300MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Ebony Eddy Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759813546

PECOS Enrollment IDI20241017003276

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210019

Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20778 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

DR. AMANDA COURT LCPC, NCC, PHD

Counselor (Mental Health)