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EBONY IRVIN CCMA
NPI 1265312334
Physician Assistant - Medical in Suffolk, VA

Active since September 08, 2025
1258 HOLLAND RD, SUFFOLK, VA 23434(877) 848-9810 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ebony Irvin Ccma NPPES

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

EBONY IRVIN CCMA (NPI 1265312334) is an individual medical provider in Suffolk, Virginia, licensed in Virginia (M5Y3S8K8) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1265312334
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameEBONY IRVINCredential: CCMA
Location Address1258 HOLLAND RDSuffolk, VA 23434-6313
Mailing Address1258 Holland RdSuffolk, VA 23434-6313 · (877) 848-9810
Phone(877) 848-9810
Sole ProprietorNo
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1265312334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · M5Y3S8K8
1258 HOLLAND RD, Suffolk, VA 23434
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Other Names 1

Other Name (5)Mrs. Ebony Griffin Ccma

Other Providers at the Same Location NPPES 20

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

PATRICIA BROWN
Counselor (Addiction (Substance Use Disorder))
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 809-4771
MARY ALVAREZ
Licensed Practical Nurse
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 809-4771
MARY CATHERINE DILLARD
Registered Nurse
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 809-4771
MRS. NORASHAWNDA MILLER CSAC-A, ICADC
Counselor (Addiction (Substance Use Disorder))
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 809-4771
ETIENNE FOX LOGAN II
Counselor (Addiction (Substance Use Disorder))
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 809-4771
MRS. RHONDA BERNICE PARKER MSW, CSAC
Counselor (Addiction (Substance Use Disorder))
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 809-4771
PHILLIP EDWARD MAYBERY CSAC
Counselor
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 439-2698
MS. SHAMEIKA SHANEA YOUNG LPN
Licensed Practical Nurse
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (866) 866-9277

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 Ebony Irvin's NPI number?

The NPI number for Ebony Irvin is 1265312334. It was assigned to this individual provider in the NPPES registry on September 8, 2025. The provider is also known as Mrs. Ebony Griffin Ccma.

Where is Ebony Irvin located?

Ebony Irvin practices at 1258 Holland Rd, Suffolk, VA 23434. The listed phone number is (877) 848-9810.

What is Ebony Irvin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Ebony Irvin was last updated on September 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.