Individual provider Active NPI

Borgia Dieudonne, NP

  • Nurse Practitioner
  • Suwanee, GA
National Provider Identifier
1043028111
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN186286 Issued in GA
Practice address
185 Old Peachtree Rd NW
Suwanee, GA 30024-2511
Phone
(678) 937-0300
Fax
(781) 464-2599
NPI assigned
Dec 20, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 2023154542 GA
Nurse Practitioner 363L00000X RN186286 GA Primary

Addresses

Primary practice location

185 Old Peachtree Rd NW
Suwanee, GA 30024-2511

Mailing address

185 Old Peachtree Rd NW
Suwanee, GA 30024-2511
Phone (678) 937-0300

Other practice location 1

5723 Memorial Dr
Stone Mountain, GA 30083-3425
Phone (678) 937-0300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bdieudonne75689@direct.acumenmd.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502000327 GA Practitioner - Nurse Practitioner 4880110816 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2023154542GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Mountain Dialysis Center, LLC CurrentSince Apr 28, 2025 Accepting new patients
Hypertension & Kidney Consultants of Georgia PC Single Specialty CurrentSince Apr 28, 2025 Accepting new patients

Locations

5723 Memorial Dr
Stone Mountain, GA 30083
Phone (678) 937-0300

185 Old Peachtree Rd NW
Suwanee, GA 30024
Phone (678) 937-0300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1043028111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 OLD PEACHTREE RD NW",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242511",
            "telephone_number": "678-937-0300",
            "fax_number": "781-464-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 OLD PEACHTREE RD NW",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242511",
            "telephone_number": "678-937-0300",
            "fax_number": "781-464-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5723 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300833425",
            "country_code": "US",
            "telephone_number": "678-937-0300",
            "fax_number": "781-464-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEUDONNE",
        "first_name": "BORGIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-20",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "2023154542",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN186286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdieudonne75689@direct.acumenmd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "185 Old Peachtree Rd NW",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300242511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.