Individual provider Active NPI

Linda Tejada Mahomar, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Colbert, GA
National Provider Identifier
1730896572
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN-NP316125 Issued in GA
Practice address
11 Charlie Morris Rd
Colbert, GA 30628-2445
Phone
(706) 788-2127
NPI assigned
Nov 1, 2022
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN-NP316125 GA Primary

Addresses

Primary practice location

11 Charlie Morris Rd
Colbert, GA 30628-2445

Mailing address

PO Box 459
Colbert, GA 30628-0459

Other identifiers 1

IdentifierTypeStateIssuer
RN316125OtherGAGA BOARD OF NURSING

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
I20221116000992 GA Practitioner - Nurse Practitioner 7517335938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medlink Georgia IncGroup PAC ID 3274442850, 93 clinicians

Practice addresses (Care Compare)

11 Charlie Morris Rd
Colbert, GA 30628-2445
Phone (706) 788-2127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP316125GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medlink Georgia Inc CurrentSince Nov 14, 2022 Accepting new patients
Medlink Georgia, Inc CurrentSince Nov 14, 2022 Accepting new patients
Medlink Georgia Inc Past Accepting new patients

Locations

2000 Prince Ave
Athens, GA 30606
Phone (706) 353-8220

11 Charlie Morris Rd
Colbert, GA 30628
Phone (706) 738-3234

11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234

1160 Capital Ave
Ste 105
Watkinsville, GA 30677
Phone (706) 521-3113

Interoperability endpoints

  • Direct secure messaging: linda.tejada.mahomar.1@9864.direct.athenahealth.com

Organizations & group practices 3

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": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1730896572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "COLBERT",
            "state": "GA",
            "postal_code": "306280459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CHARLIE MORRIS RD",
            "city": "COLBERT",
            "state": "GA",
            "postal_code": "306282445",
            "telephone_number": "706-788-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA MAHOMAR",
        "first_name": "LINDA",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "APRN-NP316125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA BOARD OF NURSING",
            "identifier": "RN316125",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colbert, GA

Sources for this page

Verify at the official NPI Registry.