Sera Gabrielle Story, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

008762 Issued in GA

Practice address

401 W Main St
Swainsboro, GA 30401

Phone

(478) 237-9928

NPI assigned

Apr 27, 2018

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emanuel County Hospital AuthorityGroup PAC ID 3577473040, 40 clinicians

Emanuel Prompt CareGroup PAC ID 4385172428, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emanuel Medical Center Hospital, Swainsboro, GA, CCN 110109

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emanuel County Hospital Authority

  dba Emanuel Surgical Associates

  • Surgery Physician
  • Swainsboro, GA
  • NPI 1003221243
  Medicare reassignment Care Compare group
• Emanuel Prompt Care

  • Urgent Care Clinic/Center
  • Swainsboro, GA
  • NPI 1487484820
  Medicare reassignment Care Compare group
• East Georgia Healthcare Center, Inc.

  dba Swainsboro Elementary School

  • Federally Qualified Health Center (FQHC)
  • Swainsboro, GA
  • NPI 1194569228
  Medicare reassignment
• East Georgia Healthcare Center, Inc.

  dba Emanuel County Institute

  • Federally Qualified Health Center (FQHC)
  • Twin City, GA
  • NPI 1568330652
  NPD
• Emanuel County Hospital Authority

  dba Emanuel Medical Center

  • Psychiatric Hospital Unit
  • Swainsboro, GA
  • NPI 1740671908
  NPD
• East Georgia Healthcare Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Swainsboro, GA
  • NPI 1831144971
  NPD (past)
• Emanuel County Hospital Authority

  dba Emanuel Medical Center

  • Clinic/Center
  • Swainsboro, GA
  • NPI 1538978895
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Emanuel County Hospital Authority

  dba Emanuel Medical Center

  • Rural Acute Care Hospital
  • Swainsboro, GA
  • NPI 1235129214
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1336637024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013110",
            "telephone_number": "478-237-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "30401",
            "telephone_number": "478-237-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORY",
        "first_name": "SERA",
        "middle_name": "GABRIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "008762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA PA LICENSE",
            "identifier": "008762",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003205741",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• Speech Teach Inc
• Joyce Dianne Spence, RN
• Arlie Stevens, FNP-BC
• Summer Willow, LLC
• Summit Retirement Inc.
• Swainsboro Dental Center
• Swainsboro Dialysis Clinic LLC
• Swainsboro Eye Clinic

• Medical Physician Assistant in Swainsboro, GA
• Providers in Swainsboro, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.