Individual provider Active NPI

Nicole Penland Bond, APRN, NP-C

  • Nurse Practitioner
  • East Ellijay, GA
National Provider Identifier
1972816874
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN175506 Issued in GA
Practice address
97 Hefner St Ste 203
East Ellijay, GA 30540-8268
Phone
(706) 253-5514
Fax
(404) 350-8795
NPI assigned
Jul 20, 2010
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN175506 GA Primary

Addresses

Primary practice location

97 Hefner St Ste 203
East Ellijay, GA 30540-8268

Mailing address

3280 Howell Mill Rd NW Ste T100
Atlanta, GA 30327-4122
Phone (404) 355-3200

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
I20130604000025 GA Practitioner - Nurse Practitioner 6800034893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Healthcare of GeorgiaGroup PAC ID 7012904394, 33 clinicians

Practice addresses (Care Compare)

433 Highland Pkwy
Suite 201
East Ellijay, GA 30540-7658
Phone (706) 276-7350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN175506GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Mountains Health Services, Inc. Current Accepting new patients
Digestive Healthcare of Ga, P.C. CurrentSince Mar 26, 2024 Accepting new patients
Piedmont Providers LLC Past Accepting new patients

Locations

3280 Howell Mill Rd NW
Ste T100
Atlanta, GA 30327
Phone (404) 355-3200

165 Blue Ridge Overlook
Blue Ridge, GA 30513
Phone (706) 946-4647

97 Hefner St
Ste 203
East Ellijay, GA 30540
Phone (706) 253-5514

433 Highland Pkwy
Ste 201
Ellijay, GA 30540
Phone (706) 276-7350

Interoperability endpoints

  • Direct secure messaging: erin.penland@gadirect.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1972816874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE T100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274122",
            "telephone_number": "404-355-3200",
            "fax_number": "404-350-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 HEFNER ST STE 203",
            "city": "EAST ELLIJAY",
            "state": "GA",
            "postal_code": "305408268",
            "telephone_number": "706-253-5514",
            "fax_number": "404-350-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "NICOLE",
        "middle_name": "PENLAND",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN175506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Ellijay, GA

Sources for this page

Verify at the official NPI Registry.