EBONY NICHOLE STORY PMHNP, APRN
NPI 1992599203
Nurse Practitioner - Psychiatric/Mental Health in Harlem, GA

Active since April 09, 2025PECOS EnrolledAccepts Medicare Assignment
632 GARLAND TRL, HARLEM, GA 30814(706) 699-7139 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 29, 2026, Oct 9, 2025, Aug 14, 2025 and 1 more (4 updates tracked since 2025).

About Ebony Nichole Story Pmhnp, Aprn NPPES

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

EBONY NICHOLE STORY PMHNP, APRN (NPI 1992599203) is an individual psychiatric/mental health provider in Harlem, Georgia, licensed in Georgia (NP233862) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Augusta, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1992599203
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEBONY NICHOLE STORYCredential: PMHNP, APRN
Location Address632 GARLAND TRLHarlem, GA 30814-5152
Mailing Address632 Garland TrlHarlem, GA 30814-5152 · (706) 699-7138 · Fax (706) 948-8780
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 9, 2025
Last NPPES UpdateJanuary 29, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1992599203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · NP233862
Also ListedRegistered NurseTaxonomy 163W00000X · License RN233862 (GA)
632 GARLAND TRL, Harlem, GA 30814

Secondary Practice Location 1

Location 13643 Walton Way Ext Ste 7BAugusta, GA 30909-4533 · Phone (762) 218-5328 · Fax (631) 350-0321

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ebony Nichole Story Pmhnp, Aprn 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 ID4082100201
PECOS Enrollment IDI20251226000649
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ebony Story reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
4246 WASHINGTON RD STE 8
Evans, GA 30809
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
Internal Medicine
777 HEMLOCK ST
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 30 clinicians in this Medicare group
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Georgia enrollment
  • 31 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30814 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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

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

Nurse Practitioner (Psychiatric/Mental Health)
632 GARLAND TRL
HARLEM, GA 30814

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 Story's NPI number?

The NPI number for Ebony Story is 1992599203. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Ebony Story located?

Ebony Story practices at 632 Garland Trl, Harlem, GA 30814. The listed phone number is (706) 699-7139.

What is Ebony Story's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ebony Story enrolled in Medicare?

Yes. Ebony Story 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.

Which organizations bill Medicare for Ebony Story's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Story reassigns Medicare benefits to 3 organizations: Global Mentality Inc (Evans, GA), Inpatient Consultants Of Georgia, Inc (Macon, GA) and Cs Pacs 3 Southeast, LLC (Bluefield, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ebony Story's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebony Story accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Ebony Story 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 Story was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.