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MISS CHARLOTTE AMELIA EBNER D.O.
NPI 1912228941
Family Medicine in Lawrenceville, GA

Active since June 14, 2010PECOS Enrolled
2878 FIVE FORKS TRICKUM RD, LAWRENCEVILLE, GA 30044(678) 344-8700(678) 344-8600 Get Directions Write a Review

NPPES record last updated: February 3, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2017, Dec 9, 2015 (2 updates tracked since 2015).

About Miss Charlotte Amelia Ebner D.o. NPPES

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

MISS CHARLOTTE AMELIA EBNER D.O. (NPI 1912228941) is an individual family medicine provider in Lawrenceville, Georgia, licensed in Georgia (069580) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912228941
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMISS CHARLOTTE AMELIA EBNERCredential: D.O.
Location Address2878 FIVE FORKS TRICKUM RDLawrenceville, GA 30044-5896
Mailing Address2878 Five Forks Trickum RoadLawrenceville, GA 30044 · (678) 344-8700 · Fax (678) 344-8600
Phone(678) 344-8700
Fax(678) 344-8600
Sole ProprietorNo
Enumeration DateJune 14, 2010
Last NPPES UpdateFebruary 3, 20172 updates tracked since enumeration
✔ NPI 1912228941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 069580✔ Licensed in SC · 1390
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2878 FIVE FORKS TRICKUM RD, Lawrenceville, GA 30044
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Other Identifiers 4

Medicaid013906SC
OtherP01117581SC · Railroad Medicare
Medicare PINAA8746067SC
Medicare PINAA78115019SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Charlotte Amelia Ebner D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30044 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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 9

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

MRS. PUSHPA LALAJI MD
Obstetrics & Gynecology
2878 FIVE FORKS TRICKUM RD, 2A
LAWRENCEVILLE, GA 30044
Gwinnett County (678) 344-8700
SATISH B PODDAR M.D.
Internal Medicine
2878 FIVE FORKS TRICKUM RD, STE 2A
LAWRENCEVILLE, GA 30044
Gwinnett County (678) 344-8700
DR. BRADFORD M GOULD M.D.
Family Medicine
2878 FIVE FORKS TRICKUM RD, 2A
LAWRENCEVILLE, GA 30044
Gwinnett County (678) 344-8700
ARCHNA PODDAR M.D.
Internal Medicine
2878 FIVE FORKS TRICKUM RD, STE 2A
LAWRENCEVILLE, GA 30044
Gwinnett County (678) 344-8700
GEORGIA DIAGNOSTIC CENTERS
Clinic/Center (Radiology)
2878 FIVE FORKS TRICKUM RD, SUITE 1A
LAWRENCEVILLE, GA 30044
Gwinnett County (678) 344-8700
MR. KYLE T YANDLE PA-C
Physician Assistant (Medical)
2878 FIVE FORKS TRICKUM RD, STE 2A
LAWRENCEVILLE, GA 30044
Gwinnett County (678) 344-8700
MR. ROBERT G WHITENER PA
Physician Assistant (Medical)
2878 FIVE FORKS TRICKUM RD, SUITE 2A
LAWRENCEVILLE, GA 30044
Gwinnett County (678) 344-8700
GEORGIA SLEEP CENTERS
Clinic/Center (Sleep Disorder Diagnostic)
2878 FIVE FORKS TRICKUM RD, SUITE 3A
LAWRENCEVILLE, GA 30044
Gwinnett County (678) 344-8700

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 Charlotte Ebner's NPI number?

The NPI number for Charlotte Ebner is 1912228941. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Where is Charlotte Ebner located?

Charlotte Ebner practices at 2878 Five Forks Trickum Rd, Lawrenceville, GA 30044. The listed phone number is (678) 344-8700.

What is Charlotte Ebner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charlotte Ebner enrolled in Medicare?

Yes. Charlotte Ebner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charlotte Ebner was last updated on February 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.