Eileen Borkovich, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN156861 Issued in GA

Practice address

1475 Holcomb Bridge Rd Ste 129
Roswell, GA 30076-2126

Phone

(678) 325-2250

Fax

(678) 325-2261

NPI assigned

Sep 28, 2010

Last updated

Feb 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Wellstar Medical Group, LLC

  dba WellStar Family Medicine ACW

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment Care Compare group NPD
• Southeastern Endocrine & Diabetes, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Roswell, GA
  • NPI 1598746059
  NPD
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD
• Rolf W Meinhold MD PC

  • Family Medicine Physician
  • Alpharetta, GA
  • NPI 1952540239
  NPD (past)

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1043529829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 HOLCOMB BRIDGE RD STE 129",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762126",
            "telephone_number": "678-325-2250",
            "fax_number": "678-325-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 HOLCOMB BRIDGE RD STE 129",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762126",
            "telephone_number": "678-325-2250",
            "fax_number": "678-325-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORKOVICH",
        "first_name": "EILEEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN156861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Michelle Bond, O.D.
• Juanita Bates Bonds
• Abigail V Boone, BCBA, M.ED
• Susan Lanette Booth
• Alison Elise Borganelli, PT, DPT
• Bruce Eric Bosse, MD
• Maria Bougiamas, DNP
• Peter D. Boulden, D.M.D.
• Sara Bouman, LPC
• Tim Bouman, LPC

• Family Nurse Practitioner in Roswell, GA
• Providers in Roswell, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.

Verify at the official NPI Registry.