Ebon Anthony Bourne MD PA
NPI 1043494479 · Multi-Specialty Clinic/Center · Marietta, GA
Ebon Anthony Bourne MD PA is a Multi-Specialty Clinic/Center organization in Marietta, GA (NPI 1043494479).
Provider details
- NPI number
- 1043494479
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ebon Bourne, Md/Owner(954) 895-8240
- License
- ME84326 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-20
- Last updated
- 2015-03-20
Frequently asked questions
- What is Ebon Anthony Bourne MD PA's NPI number?
- Ebon Anthony Bourne MD PA's National Provider Identifier (NPI) is 1043494479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ebon Anthony Bourne MD PA?
- Ebon Anthony Bourne MD PA is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ebon Anthony Bourne MD PA located?
- Ebon Anthony Bourne MD PA's practice location on file with NPPES is 2594 Weddington Rdg Ne, Marietta, GA 30068-2283.
- What is Ebon Anthony Bourne MD PA's phone number?
- The practice phone number listed in the NPPES registry for Ebon Anthony Bourne MD PA is (954) 895-8240.
- Who is the authorized official for Ebon Anthony Bourne MD PA?
- The authorized official listed on Ebon Anthony Bourne MD PA's NPPES record is Ebon Bourne, Md/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ebon Anthony Bourne MD PA's NPI active?
- Yes — Ebon Anthony Bourne MD PA's NPI (1043494479) is active in the NPPES registry as of the last update on 2015-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.