Individual provider Active NPI

Eliza Janes Boswell, FNP-C

  • Family Nurse Practitioner
  • Watkinsville, GA
National Provider Identifier
1508629304
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP294550 Issued in GA
Practice address
1550 Mars Hill Rd
Watkinsville, GA 30677-4836
Phone
(706) 769-4852
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP294550 GA Primary

Addresses

Primary practice location

1550 Mars Hill Rd
Watkinsville, GA 30677-4836

Mailing address

112 Southland Dr
Watkinsville, GA 30677-2404
Phone (706) 540-2603

Other practice location 1

1430 Capital Ave Ste 111
Watkinsville, GA 30677-1863
Phone (678) 503-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F01241023GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Athens Physicians, Inc PastSince Dec 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1508629304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SOUTHLAND DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772404",
            "telephone_number": "706-540-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MARS HILL RD",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774836",
            "telephone_number": "706-769-4852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Capital Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Watkinsville",
            "state": "GA",
            "postal_code": "306771863",
            "country_code": "US",
            "telephone_number": "678-503-4131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "ELIZA",
        "middle_name": "JANES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP294550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.