SERA GABRIELLE STORY (PA-C) – Medical Physician Assistant, NPI 1336637024
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
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Provider Addresses for SERA GABRIELLE STORY (PA-C)
401, West Main Street, Swainsboro, Emanuel County, Georgia, 30401, United States
SWAINSBORO, GA 304013110
Phone: (478) 237-9928
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $484.
Total Amount is formed as General ($484) + Research ($0) + Ownership ($0) = $484.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($132).
Total Amount
$484
General + Research + Ownership
Payments
28
Total payment records
General Amount
$484
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $132 |
| AstraZeneca Pharmaceuticals LP | $98 |
| Novo Nordisk Inc | $62 |
| Lilly USA, LLC | $47 |
| Daiichi Sankyo Inc. | $28 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-10-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181024002013 | I | Physician Assistant | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Thoracic Surgery, Cardiac Surgery, Vascular Surgery | GA | |
| Emergency Medicine | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine, Hospice/Palliative Care, Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| P S Y C H I A T R Y | GA | |
| General Surgery | CO |
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