Individual provider Active NPI

Naomi Bordea, FNP-C

  • Family Nurse Practitioner
  • Watkinsville, GA
National Provider Identifier
1730772161
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN269702 Issued in GA
Practice address
1612 Mars Hill Rd
Watkinsville, GA 30677-4889
Phone
(706) 705-1464
NPI assigned
Feb 17, 2021
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 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 RN269702 GA Primary

Addresses

Primary practice location

1612 Mars Hill Rd
Watkinsville, GA 30677-4889

Mailing address

1612 Mars Hill Rd
Watkinsville, GA 30677-4889
Phone (706) 705-1464

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210929003281 GA Practitioner - Nurse Practitioner 4385041680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joint Regeneration of Lake Oconee LLCGroup PAC ID 0244627149, 2 clinicians

Practice addresses (Care Compare)

1612 Mars Hill Rd
Suite B
Watkinsville, GA 30677-4889
Phone (706) 705-1464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Regeneration of Lake Oconee LLC Family CurrentSince Apr 16, 2025 Accepting new patients

Locations

112 Harmony Xing
Ste 1
Eatonton, GA 31024
Phone (706) 991-5348

7718 Hampton Pl
Loganville, GA 30052
Phone (706) 705-1464

1612 Mars Hill Rd
Ste B
Watkinsville, GA 30677
Phone (706) 705-1464

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1730772161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 MARS HILL RD",
            "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",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774889",
            "telephone_number": "706-705-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEA",
        "first_name": "NAOMI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN269702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.