Ebony Yalonda Arceneaux, APRN, PMHNP-BC

Key facts

NPI: 1841927142
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: RN254664 (GA)
Practice address: 6003 Veterans Pkwy
Columbus, GA 31909-6200
Phone: (915) 691-4554
NPI assigned: Aug 5, 2022
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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

Rivertown Psychiatry, PC Psychiatry Physician · Columbus, GA · NPI 1023362852

Medicare reassignment NPD GA · SINGLE SPECIALTY

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20220901000549	GA	Practitioner - Nurse Practitioner	7214311786	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Rivertown Psychiatry, PC	Single Specialty	Current since Aug 1, 2022	Accepting new patients

Locations

6003 Veterans Pkwy
Columbus, GA 31909
Phone (706) 222-1222

6003 Veterans Pkwy
Ste 100
Columbus, GA 31909
Phone (706) 223-1933

5700 Veterans Pkwy
Columbus, GA 31904
Phone (706) 221-3222

1605 Vernon Rd
Ste 1500
Lagrange, GA 30240
Phone (706) 615-1691

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363LP0808X	RN254664	GA	Yes

Addresses

Primary practice location

6003 Veterans Pkwy
Columbus, GA 31909-6200

Mailing address

6003 Veterans Pkwy
Columbus, GA 31909-6200
Phone (915) 691-4554

Other providers in Columbus, GA

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Apt Counseling Service, Inc.
Omaima Arab, PHARM.D
Catalina T Aranas, MD
Amman Araya
Monica Arenas
Ares Medical Group
Jessica Lee Argue, MA, CFY-SLP
Miriam Ariasochoa, FNP, BC
Vineeth Reddy Arimanda, MBBS

All providers in Columbus, GA · Psychiatric/Mental Health Nurse Practitioner in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.