Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Irvin, CCMA

Individual provider Medical Physician Assistant · NPI 1265312334

Ebony Irvin, CCMA is a Medical Physician Assistant in Suffolk, Virginia. Licensed in Virginia. Registered with an NPI since 2025.

Licensed in
VA
In the registry since
2025

Practice location Address checks out

1258 Holland Rd
Suffolk, VA 23434-6313
Phone: (877) 848-9810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence M5Y3S8K8 (VA)

Record details

NPI number1265312334
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCMA
Sole proprietorNo
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address1258 Holland Rd, Suffolk, VA 23434-6313

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