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Active NPI 1053812982 Individual Practitioner Female Practitioner

Eboni Grace Broussard , MA, NCC

Counselor - Professional • Macon, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Eboni Broussard, MA, NCC is a certified Counselor - Professional practicing in Macon, GA. With approximately 14 years of clinical experience since completing medical education in 2012, Eboni Broussard delivers high-quality medical care to the local community at 3098 ASHBY DR.

Eboni Broussard is affiliated with Sondermind Provider Network Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3098 Ashby Dr

Macon, GA 312041502

Telephone 4044091039

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Macon, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -2.1 yrs vs City Avg
City Avg: 16.1 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
116 Specialists

Practicing in Macon, GA (6655 Statewide)

Telehealth Adoption Rate
2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Broussard (14 Years) 14 Yrs
Macon Specialty Average (16.1 Years) 16.1 Yrs

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Definition to come...

Hospital & Practice Group Affiliations

Sondermind Provider Network Llc

3372 Peachtree Rd Ne, Atlanta, GA 303261963

Phone: 8666300966

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active February 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2018

Registered at 3098 ASHBY DR, MACON, GA 312041502 (Tel: 4044091039)

📍
Updated Business Mailing Address February 26, 2018

Registered at 3098 ASHBY DR, MACON, GA 312041502 (Tel: 4044091039)

👤
Provider Name / Credentials Updated February 26, 2018

Recorded as EBONI BROUSSARD, MA, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2018

Counselor

🟢
Initial NPI Registration & Enumeration February 26, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053812982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2018
Last Update: February 26, 2018
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

3098 Ashby Dr

Macon, GA 312041502

Phone: 4044091039

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.