Skip to content
NPISignal

Individual Healthcare Provider

Jana Ebbert, D.O.

NPI Record: ActiveFamily Medicine
NPI1417373986
Bennettsville, South Carolina

Provider's NPPES record last updated: March 6, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1417373986
Primary Specialty
Family Medicine
Practice Location
Bennettsville, South Carolina
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 1:48 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Family 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 family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X

Provider-Reported License Information

Family Medicine (South Carolina)
81620
Family Medicine (West Virginia)
3393
Family Medicine (Mississippi)
25215
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

999 Cheraw St

Bennettsville, South Carolina 29512-2420

Phone: (843) 479-2341

Additional Practice Location

17540 E Main St

Louisville, Mississippi 39339-0470

Phone: (662) 773-3503

Additional Practice Location

17540 E Main St

Louisville, Mississippi 39339-0470

Phone: (662) 773-3503

Additional Practice Location

30 N 4th St

4th and Willow Street

Lebanon, Pennsylvania 17046-5606

Phone: (717) 274-0474

Additional Practice Location

314 S Wells St

Sistersville, West Virginia 26175

Phone: (304) 652-2611

Additional Practice Location

939 Springdale Dr

Clinton, South Carolina 29325-7266

Phone: (910) 742-9243

Additional Practice Location

3205 Randall Pkwy Ste 105

Wilmington, North Carolina 28403-2565

Phone: (910) 742-9243

Record Information

Enumeration Date
March 8, 2014
Provider's NPPES Record Last Updated
March 6, 2025
Certification Date
March 6, 2025
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue