P Praxis·MD
● Active Type 1 · Individual

Barbara Eileen Ebert, MD

Dermatology·Moultrie, GA· NPI 1558319301 · Enumerated 2006 · 20 years on NPI
Ebert is 1 of 2 dermatology providers in Moultrie and 1 of 483 in Georgia.
NPI age
20 years
Enumerated 2006-05-04
Primary specialty
Dermatology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
760 26th Ave Se
Moultrie, GA 317686799
📞 2295029710
Mailing address
Po Box 3864
Moultrie, GA 317763864
📞 2295029710

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #071730 taxonomy 207N00000X

Identifiers

TypeValueNotes
05 (GA) 003147858D
01 (GA) 202I075536 MEDICARE PTAN
05 (GA) 003147858B

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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