NONNA LYN M EBALO MD
NPI 1861472524
Pediatrics in South Boston, VA

Q: What is Nonna Lyn Ebalo's NPI number?

The NPI number for Nonna Lyn Ebalo is 1861472524. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Nonna Lyn Ebalo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Nonna Lyn Ebalo was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 19, 2006

2202 BEECHMONT RD, SOUTH BOSTON, VA 24592(434) 572-3635(434) 575-0676 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nonna Lyn M Ebalo Md NPPES

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

NONNA LYN M EBALO MD (NPI 1861472524) is an individual pediatrics provider in South Boston, Virginia, licensed in Virginia (0101232220) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1861472524

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameNONNA LYN M EBALOCredential: MD

Location Address2202 BEECHMONT RDSouth Boston, VA 24592-1614

Mailing Address2202 Beechmont RdSouth Boston, VA 24592-1614 · (434) 572-3635 · Fax (434) 575-0676

Phone(434) 572-3635

Fax(434) 575-0676

Sole ProprietorNo

Enumeration DateJanuary 19, 2006

Last NPPES UpdateMay 26, 2026

NPPES CertifiedMay 26, 2026

✔ NPI 1861472524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in VA · 0101232220

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2202 BEECHMONT RD, South Boston, VA 24592

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Other Providers at the Same Location NPPES 2

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

SOUTH BOSTON PEDIATRICS, PC

Pediatrics

2202 BEECHMONT RD
SOUTH BOSTON, VA 24592

Halifax County (434) 572-3635

COMMUNITY PHCY OF SOUTH BOSTON,INC

Pharmacy (Community/Retail Pharmacy)

2202 BEECHMONT RD
SOUTH BOSTON, VA 24592

Halifax County (434) 575-7988

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 Nonna Lyn Ebalo's NPI number?

The NPI number for Nonna Lyn Ebalo is 1861472524. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Nonna Lyn Ebalo located?

Nonna Lyn Ebalo practices at 2202 Beechmont Rd, South Boston, VA 24592. The listed phone number is (434) 572-3635.

What is Nonna Lyn Ebalo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Nonna Lyn Ebalo was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.