Joint Regeneration of Lake Oconee LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

JOINT REGENERATION OF LAKE OCONEE LLC

Practice address

1612 Mars Hill Rd Ste B
Watkinsville, GA 30677-4889

Phone

(762) 220-1199

NPI assigned

Jan 4, 2022

Organization subpart

No

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

Authorized official

Name

Patty Stewart

Title

Owner

Phone

(706) 705-1464

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Naomi Bordea, FNP-C

  • Family Nurse Practitioner
  • Watkinsville, GA
  • NPI 1730772161
  Medicare reassignment Care Compare group NPD
• Courtney Hinson, NP-C

  • Nurse Practitioner
  • Watkinsville, GA
  • NPI 1659873412
  Medicare reassignment Care Compare group NPD
• William Ashford, MD

  • Orthopaedic Surgery Physician
  • Athens, GA
  • NPI 1588078109
  Medicare reassignment NPD
• Kalen Elizabeth Ashford, PA-C

  • Medical Physician Assistant
  • Athens, GA
  • NPI 1003257163
  NPD (past)

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1073274817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 MARS HILL RD STE B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774889",
            "telephone_number": "706-705-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 MARS HILL RD STE B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774889",
            "telephone_number": "762-220-1199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7718 Hampton Pl",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300526770",
            "country_code": "US",
            "telephone_number": "706-705-1464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOINT REGENERATION OF LAKE OCONEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-705-1464"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Hester Johnson, DMD
• Kiara Johnson, RBT
• Michael Johnson, PT
• Nedra D Johnson, NP
• Princess Johnson, RBT
• Garris Trippe Jones Jr., M.D.
• Janet L. Jones, PT
• Jennifer Stroble Jones, MSPT
• Kaitlyn Jones
• Lisa Nicole Jones, FNP-C

• Medical Specialty Clinic/Center in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.