Georgina Elise Boardley, PA-S

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

Practice address

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Phone

(407) 288-5246

NPI assigned

Sep 13, 2024

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 FL

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

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Family Health Enterprises Inc

  • Family Medicine Physician
  • Lady Lake, FL
  • NPI 1538192075
  Medicare reassignment NPD
• Primary Options Inc

  • Family Medicine Physician
  • Lady Lake, FL
  • NPI 1225380504
  NPD (past)

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1124854294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 WELLSTONE WAY",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313247877",
            "telephone_number": "407-288-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "407-288-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARDLEY",
        "first_name": "GEORGINA",
        "middle_name": "ELISE",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Blankenship, LPN
• Benjamin Scott Bledsoe, PSYD
• Kristina Denise Blessing, LPC, MAC
• Jessica Lynn Blevins
• Dennis James Blue Jr., P.A.
• Harry Nick Bobotis, DMD
• Kevin Lee Bock II, DMD
• Martin K. Bodden, DMD
• April Boecker
• Kathleen Weiher Boggess, LCSW

• Military Health Care Provider in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Military Health Care Provider in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.