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MS. EBONI GRACE BROUSSARD MA, NCC
NPI 1053812982
Counselor - Professional in Macon, GA

Active since February 26, 2018PECOS EnrolledAccepts Medicare Assignment
3098 ASHBY DR, MACON, GA 31204(404) 409-1039 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Eboni Grace Broussard Ma, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. EBONI GRACE BROUSSARD MA, NCC (NPI 1053812982) is an individual professional provider in Macon, Georgia and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1053812982
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. EBONI GRACE BROUSSARDCredential: MA, NCC
Location Address3098 ASHBY DRMacon, GA 31204-1502
Mailing Address3098 Ashby DrMacon, GA 31204-1502 · (404) 409-1039
Phone(404) 409-1039
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 26, 2018
✔ NPI 1053812982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
3098 ASHBY DR, Macon, GA 31204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Eboni Grace Broussard Ma, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143745794
PECOS Enrollment IDI20250416002684
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eboni Broussard's NPI number?

The NPI number for Eboni Broussard is 1053812982. It was assigned to this individual provider in the NPPES registry on February 26, 2018.

Where is Eboni Broussard located?

Eboni Broussard practices at 3098 Ashby Dr, Macon, GA 31204. The listed phone number is (404) 409-1039.

What is Eboni Broussard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Eboni Broussard enrolled in Medicare?

Yes. Eboni Broussard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eboni Broussard accept?

Health plans from CareSource and UnitedHealthcare list Eboni Broussard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eboni Broussard was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.