Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144097973 Individual Practitioner Female Practitioner

Ebony Eddy , PA-C

Physician Assistant • West River, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ebony Eddy, PA-C is a certified Physician Assistant practicing in West River, MD. With approximately 2 years of clinical experience since completing medical education in 2024, Ebony Eddy delivers high-quality medical care to the local community at 134 OWENSVILLE RD.

Ebony Eddy is affiliated with Three Lower Counties Community Services Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

134 Owensville Rd

West River, MD 207789702

Telephone 4108674700
Associated Practice Facility / Clinic
🏢 Owensville Primary Care, Inc Facility NPI 1225110067

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in West River, MD

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -1.0 yrs vs City Avg
City Avg: 3.0 Yrs
State Avg: 11.8 Yrs
Regional Practice Density
4 Specialists

Practicing in West River, MD (3255 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Eddy (2 Years) 2 Yrs
West River Specialty Average (3.0 Years) 3.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-08-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MD C0009500

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
119591300 (MD)

Hospital & Practice Group Affiliations

Three Lower Counties Community Services Inc

32033 Beaver Run Dr, Salisbury, MD 218041773

Phone: 4107491015

Secondary Practice Locations

6131 Shady Side Rd

Shady Side, MD 207649504

Phone: 4108674700

5408 Southern Maryland Blvd

Lothian, MD 207112601

Phone: 4108674700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Dr. Amanda Court , LCPC, NCC, PhD

Counselor - Mental Health

NPI 1043933609

Licensed Clinical Professional Counselor, National Certified Counselor, Doctor of Philosophy (Ph.D.)

NPI 1063914836

Doctor of Osteopathic Medicine (D.O.)

NPI 1114370897

Licensed Clinical Social Worker - Certified

Dr. Wayne Bierbaum , MD

Internal Medicine

NPI 1215993449

Doctor of Medicine (M.D.)

NPI 1245947522

CRNPFAMILY

Andrew Powell

Physician Assistant

NPI 1295459618

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location August 06, 2026

Registered at 134 OWENSVILLE RD, WEST RIVER, MD 207789702 (Tel: 4108674700)

📍
Updated Business Mailing Address August 06, 2026

Registered at 134 OWENSVILLE RD, WEST RIVER, MD 207789702 (Tel: 4108674700)

📍
Updated Business Mailing Address September 09, 2024

Registered at PO BOX 1978, SALISBURY, MD 218021978 (Tel: 4107491015)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2024

Physician Assistant (License #C0009500 in MD)

📍
Updated Practice Location July 17, 2024

Registered at 1665 WOODBROOKE DR, SALISBURY, MD 218048502 (Tel: 4105466650)

👤
Provider Name / Credentials Updated July 17, 2024

Recorded as EBONY EDDY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2024

Physician Assistant

NPI Profile Active December 12, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2023

Registered at 901 HARRY S TRUMAN DR N, LARGO, MD 207745477 (Tel: 2406771000)

📍
Updated Business Mailing Address December 12, 2023

Registered at 220 20TH ST S APT 1308, ARLINGTON, VA 222023632 (Tel: 4073180987)

👤
Provider Name / Credentials Updated December 12, 2023

Recorded as EBONY EDDY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 12, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144097973
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2023
Last Update: August 06, 2026
Sole Proprietor: No

Mailing Address

134 Owensville Rd

West River, MD 207789702

Phone: 4108674700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.