Jesty Boby, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

192978 Issued in GA

Practice address

751 Autumn Meadow Dr
Loganville, GA 30052-7934

Phone

(678) 982-6728

NPI assigned

Sep 7, 2020

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Lifeline Primary Care, Inc

  • Primary Care Clinic/Center
  • Lilburn, GA
  • NPI 1639426984

  GA

  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1164149365

  GA

  Medicare reassignment NPD
• Lifeline Primary Care, Inc

  • Family Medicine Physician
  • Duluth, GA
  • NPI 1104292630
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1134733199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 AUTUMN MEADOW DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527934",
            "telephone_number": "678-982-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 AUTUMN MEADOW DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527934",
            "telephone_number": "678-982-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBY",
        "first_name": "JESTY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-07",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "192978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BMC Helping Hands for You LLC
• Philip Boadu, NP
• Board of Health Walton County
• Board of Health Walton County
• Donya Boatwright-Johnson
• Bold Ark LLC
• Miranda Bollinger
• Jennifer K Bolton, DC
• Karene Gaile Boone, NP
• Molly Bracken, M.A.

• All providers in Loganville, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.