Active NPI
Ebony Nichole Story, PMHNP, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Harlem, GA
National Provider Identifier
1992599203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP233862
- Practice address
- 632 Garland TRL
Harlem, GA 30814-5152 - Phone
- (706) 699-7139
- NPI assigned
- Apr 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN233862 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP233862 | GA | Primary |
Addresses
Primary practice location
632 Garland TRL
Harlem, GA 30814-5152
Mailing address
632 Garland TRL
Harlem, GA 30814-5152
Phone (706) 699-7138
Other practice location 1
3643 Walton Way Ext Ste 7B
Augusta, GA 30909-4533
Phone (762) 218-5328
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
813 Atlanta Hwy
Warrenton, GA 30828-9105
Phone (706) 465-3328
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN233862 | GA | MD | Registered Nurse |
| NP233862 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| Your Story Medical Solution LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Inpatient Consultants of Georgia, Inc | Current | Accepting new patients | |
| Global Mentality Inc | Psychiatric/Mental Health | Current | Accepting new patients |
| Global Mentality | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
4246 Washington Rd
Ste 8
Evans, GA 30809
Phone (762) 218-5328
813 Atlanta Hwy
Warrenton, GA 30828
Phone (706) 465-3328
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Macon, GA
- NPI 1659403970
-
- Psychiatric/Mental Health Nurse Practitioner
- Evans, GA
- NPI 1306430095
-
- Psychiatric/Mental Health Nurse Practitioner
- Harlem, GA
- NPI 1073491551
-
- Psychiatric/Mental Health Nurse Practitioner
- Evans, GA
- NPI 1093306722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1992599203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 GARLAND TRL",
"city": "HARLEM",
"state": "GA",
"postal_code": "308145152",
"telephone_number": "706-699-7138",
"fax_number": "706-948-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 GARLAND TRL",
"city": "HARLEM",
"state": "GA",
"postal_code": "308145152",
"telephone_number": "706-699-7139"
}
],
"practiceLocations": [
{
"address_1": "3643 Walton Way Ext Ste 7B",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309094533",
"country_code": "US",
"telephone_number": "762-218-5328",
"fax_number": "631-350-0321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STORY",
"first_name": "EBONY",
"middle_name": "NICHOLE",
"credential": "PMHNP, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-09",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN233862",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "NP233862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harlem, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.