NPI age
18 years
Enumerated 2007-12-20
● Active Type 2 · Organization
Ebon Anthony Bourne MD PA
Ebon Anthony Bourne MD PA is 1 of 318 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bourne
Md/owner
Last NPPES update
2015-03-20
Source: monthly bulk 2026-05
How this organization compares
Across 318 active clinic/center providers in Georgia.
NPI age
18 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 29% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-12Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2594 Weddington Rdg Ne
Marietta, GA 300682283
Mailing address
2595 Weddington Ridge
Marietta, GA 30068
Authorized official
Ebon Anthony Bourne, MD
Md/owner
📞 9548958240
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Internal MedicineA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 265092400 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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