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EBONI CARROLL PA
NPI 1316736721
Physician Assistant in Memphis, TN

Active since May 02, 2025PECOS Enrolled
1211 UNION AVE STE 300, MEMPHIS, TN 38104(901) 272-6018(901) 201-4203 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eboni Carroll Pa NPPES

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

EBONI CARROLL PA (NPI 1316736721) is an individual physician assistant in Memphis, Tennessee and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Meharry Medical College School Of Medicine (2025).

NPPES Registry Identity

NPI1316736721
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEBONI CARROLLCredential: PA
Location Address1211 UNION AVE STE 300Memphis, TN 38104-6655
Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655
Phone(901) 272-6018
Fax(901) 201-4203
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2025
Enumeration DateMay 2, 2025
Last NPPES UpdateMarch 19, 2026
NPPES CertifiedMarch 19, 2026
✔ NPI 1316736721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1211 UNION AVE STE 300, Memphis, TN 38104
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Secondary Practice Location 1

Location 16401 Poplar Ave Ste 540Memphis, TN 38119-4823 · Phone (901) 478-0900 · Fax (901) 201-4203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eboni Carroll Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204315674
PECOS Enrollment IDI20260205003008
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 11

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

JUSTIN HUNTER M.D
Surgery (Vascular Surgery)
1211 UNION AVE STE 300
MEMPHIS, TN 38104
Shelby County (901) 272-6018
NATHAN MICHAEL HINKLE M.D.
Colon & Rectal Surgery
1211 UNION AVE STE 300
MEMPHIS, TN 38104
Shelby County (901) 609-3525
FREDERICK JOHN JAECKLEIN M.D.
Surgery (Vascular Surgery)
1211 UNION AVE STE 300
MEMPHIS, TN 38104
Shelby County (901) 272-6018
SPYRIDON MONASTIRIOTIS MD
Surgery (Vascular Surgery)
1211 UNION AVE STE 300
MEMPHIS, TN 38104
Shelby County (901) 272-6018
NICOLE S POSTON NP
Nurse Practitioner (Family)
1211 UNION AVE STE 300
MEMPHIS, TN 38104
Shelby County (901) 609-3525
ASHLEY ALLEN HENDRIX MD
Surgery (Surgical Oncology)
1211 UNION AVE STE 300
MEMPHIS, TN 38104
Shelby County (901) 516-0792
DR. SHRISHIV TIMBALIA MD
Surgery (Vascular Surgery)
1211 UNION AVE STE 300
MEMPHIS, TN 38104
Shelby County (901) 272-6018
TAYLOR LEIGH BREZINKA PA
Physician Assistant
1211 UNION AVE STE 300
MEMPHIS, TN 38104
Shelby County (901) 272-6018

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 Eboni Carroll's NPI number?

The NPI number for Eboni Carroll is 1316736721. It was assigned to this individual provider in the NPPES registry on May 2, 2025.

Where is Eboni Carroll located?

Eboni Carroll practices at 1211 Union Ave Ste 300, Memphis, TN 38104. The listed phone number is (901) 272-6018.

What is Eboni Carroll's specialty?

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

Is Eboni Carroll enrolled in Medicare?

Yes. Eboni Carroll is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eboni Carroll was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.