NPI age
15 years
Enumerated 2010-06-14
● Active
Type 1 · Individual
MISS Charlotte Amelia Ebner, D.O.
Ebner is 1 of 92 family medicine providers in Lawrenceville and 1 of 5448 in Georgia.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2017-02-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5448 active family medicine providers in Georgia.
NPI age
15 years
↓ 2 yr below median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-06Enumerated in NPPES
2010
2026
Where they practice
Practice location
2878 Five Forks Trickum Rd
Lawrenceville, GA 300445896
Mailing address
2878 Five Forks Trickum Road
Lawrenceville, GA 30044
Specialties
-
Family Medicine PrimaryFamily 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (SC) | P01117581 | RAILROAD MEDICARE |
| 05 (SC) | 013906 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new family medicine provider has been added in Lawrenceville in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.