Doctor profile · Federal record

Dr. Nonna Lyn Ebalo, MD

Pediatrics Physician · Pediatrics Physician · South Boston, VA

  • NPI 1861472524
  • 20 yrs on file
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2212 Wilborn Ave
South Boston, VA 245921630
(434) 572-8921
fax (434) 572-2063

Credentials & registration

NPPES · NUCC
NPI registered
January 2006 — 20 yrs on file
Profile last updated
September 24, 2012
Specialty taxonomy
208000000X — NUCC code
State licenses (2)
Virginia #0101232220 · California #C51721

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1861472524. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$353
Transactions
16
Manufacturers
6
Payer (manufacturer) Industry Txns Amount
Supernus Pharmaceuticals, INC. 7 $203.11
Ironshore Pharmaceuticals INC. 4 $67.13
Sanofi-Aventis U.S. LLC 2 $31.04
Tris Pharma INC 1 $20.84
Seqirus USA INC 1 $16.11
Merck Sharp & Dohme LLC 1 $14.62

By nature of payment

Food and Beverage
$353

Frequently asked questions

Auto-generated from federal data
What is Dr. Nonna Lyn Ebalo's medical specialty?
Dr. Nonna Lyn Ebalo practices Pediatrics Physician in South Boston, VA.
Where does Dr. Nonna Lyn Ebalo practice?
Dr. Nonna Lyn Ebalo practices at 2212 Wilborn Ave, South Boston, VA 245921630. Office phone: 4345728921.
What is Dr. Nonna Lyn Ebalo's NPI?
Dr. Nonna Lyn Ebalo's National Provider Identifier (NPI) is 1861472524, issued by NPPES.