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KATHLEEN EBERSOL
NPI 1841979960
Student in an Organized Health Care Education/Training Program in Suwanee, GA

Active since July 17, 2023PECOS Enrolled
625 OLD PEACHTREE RD NW, SUWANEE, GA 30024(678) 225-7500 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kathleen Ebersol NPPES

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

KATHLEEN EBERSOL (NPI 1841979960) is an individual student in an organized health care education/training program in Suwanee, Georgia and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841979960
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHLEEN EBERSOL
Location Address625 OLD PEACHTREE RD NWSuwanee, GA 30024-2937
Mailing Address625 Old Peachtree Rd NwSuwanee, GA 30024-2937 · (678) 225-7500
Phone(678) 225-7500
Sole ProprietorNo
Enumeration DateJuly 17, 2023
NPPES CertifiedJuly 15, 2023
✔ NPI 1841979960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
625 OLD PEACHTREE RD NW, Suwanee, GA 30024
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Ebersol 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.

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.

HA NGUYEN
Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 225-7500
CARRIE SMITH NOLD PA-C
Physician Assistant
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (770) 682-2362
DR. KRISTIE PETREE D.O.
Neuromusculoskeletal Medicine & OMM
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (517) 432-6144
VANESSA PETER
Physician Assistant
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 225-7500
JAD ELKHALIL
Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 225-7500
DR. JENNIFER ANN SHANNON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 407-7369
NYCE KEIYORO
Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 225-7500
CAROLINE KIM
Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 225-7500

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 Kathleen Ebersol's NPI number?

The NPI number for Kathleen Ebersol is 1841979960. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Kathleen Ebersol located?

Kathleen Ebersol practices at 625 Old Peachtree Rd NW, Suwanee, GA 30024. The listed phone number is (678) 225-7500.

What is Kathleen Ebersol's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kathleen Ebersol enrolled in Medicare?

Yes. Kathleen Ebersol is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Ebersol was last updated on July 17, 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.