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JESTY BOBY FNP-C
NPI 1134733199
Nurse Practitioner - Family in Loganville, GA

Active since September 07, 2020PECOS Enrolled
751 AUTUMN MEADOW DR, LOGANVILLE, GA 30052(678) 982-6728 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesty Boby Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESTY BOBY FNP-C (NPI 1134733199) is an individual family provider in Loganville, Georgia, licensed in Georgia (192978) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134733199
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESTY BOBYCredential: FNP-C
Location Address751 AUTUMN MEADOW DRLoganville, GA 30052-7934
Mailing Address751 Autumn Meadow DrLoganville, GA 30052-7934 · (678) 982-6728
Phone(678) 982-6728
Sole ProprietorNo
Enumeration DateSeptember 7, 2020
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1134733199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · 192978
751 AUTUMN MEADOW DR, Loganville, GA 30052
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesty Boby Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesty Boby's NPI number?

The NPI number for Jesty Boby is 1134733199. It was assigned to this individual provider in the NPPES registry on September 7, 2020.

Where is Jesty Boby located?

Jesty Boby practices at 751 Autumn Meadow Dr, Loganville, GA 30052. The listed phone number is (678) 982-6728.

What is Jesty Boby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jesty Boby enrolled in Medicare?

Yes. Jesty Boby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesty Boby was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.