EBONY HAIRSTON FNP- C
NPI 1730579434
Nurse Practitioner - Family in Lincolnton, NC

Active since February 02, 2015PECOS EnrolledAccepts Medicare Assignment
200 GAMBLE DR, LINCOLNTON, NC 28092(704) 736-8635 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2026, May 24, 2023, Mar 15, 2020 and 2 more (5 updates tracked since 2016).

About Ebony Hairston Fnp- C NPPES

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

EBONY HAIRSTON FNP- C (NPI 1730579434) is an individual family provider in Lincolnton, North Carolina, licensed in North Carolina (5010217) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1730579434
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEBONY HAIRSTONCredential: FNP- C
Location Address200 GAMBLE DRLincolnton, NC 28092-4421
Mailing Address911 Goldmine Hill CtBelmont, NC 28012-4078 · (937) 603-4618
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 2, 2015
Last NPPES UpdateApril 7, 20265 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
NPI 1730579434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NC · 5010217 Licensed in AZ · AP7615
200 GAMBLE DR, Lincolnton, NC 28092

Secondary Practice Locations 2

Location 17100 W Grandview Rd, Apt 2003Peoria, AZ 85382-4902 · Phone (937) 603-4618
Location 27920 Sam Furr RdHuntersville, NC 28078-8911 · Phone (866) 389-2727

Accepted 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

Ebony Hairston Fnp- C 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 ID345568044
PECOS Enrollment IDI20180504001801
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
200 GAMBLE DR
LINCOLNTON, NC 28092
Nurse Anesthetist, Certified Registered
200 GAMBLE DR
LINCOLNTON, NC 28092
Nurse Anesthetist, Certified Registered
200 GAMBLE DR
LINCOLNTON, NC 28092
Nurse Anesthetist, Certified Registered
200 GAMBLE DR
LINCOLNTON, NC 28092
Anesthesiology
200 GAMBLE DR
LINCOLNTON, NC 28092
General Acute Care Hospital
200 GAMBLE DR
LINCOLNTON, NC 28092
Nurse Anesthetist, Certified Registered
200 GAMBLE DR
LINCOLNTON, NC 28092
Nurse Practitioner (Family)
200 GAMBLE DR
LINCOLNTON, NC 28092

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 Ebony Hairston's NPI number?

The NPI number for Ebony Hairston is 1730579434. It was assigned to this individual provider in the NPPES registry on February 2, 2015.

Where is Ebony Hairston located?

Ebony Hairston practices at 200 Gamble Dr, Lincolnton, NC 28092. The listed phone number is (704) 736-8635.

What is Ebony Hairston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ebony Hairston enrolled in Medicare?

Yes. Ebony Hairston 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 Ebony Hairston accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Ebony Hairston 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 Ebony Hairston was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.