Jesty Boby, FNP-C - Medicare Nurse Practitioner in Loganville, GA

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Jesty Boby, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Loganville, Georgia. Her current practice location is 751 Autumn Meadow Dr, Loganville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 982-6728.

Jesty Boby is licensed to practice in Georgia (license number 192978) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134733199.

Contact Information

Jesty Boby, FNP-C
751 Autumn Meadow Dr,
Loganville, GA 30052-7934
(678) 982-6728
Not Available

Map and Direction




Provider's Profile

Full NameJesty Boby
GenderFemale
SpecialityNurse Practitioner - Family
Location751 Autumn Meadow Dr, Loganville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134733199
  • Provider Enumeration Date: 09/07/2020
  • Last Update Date: 10/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6204227283
  • Enrollment ID: I20211230000293

Medical Identifiers

Medical identifiers for Jesty Boby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134733199NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 192978 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jesty Boby allows following entities to bill medicare on her behalf.
Entity NameLifeline Primary Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639426984
PECOS PAC ID: 3476709304
Enrollment ID: O20120809000151
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164149365
PECOS PAC ID: 9234041948
Enrollment ID: O20210722000258

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jesty Boby is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jesty Boby, FNP-C
751 Autumn Meadow Dr,
Loganville, GA 30052-7934

Ph: (678) 982-6728		Jesty Boby, FNP-C
751 Autumn Meadow Dr,
Loganville, GA 30052-7934

Ph: (678) 982-6728

Reviews and Comments


Nurse Practitioner Nurses in Loganville, GA

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Johanne Dastine-coriolan, NP
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Ashley Owen,
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Phone: 770-466-8672    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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