More usefully, a uuidv7 can take the place of both the id and the created_at field (if precision is sufficient), and can (depending on your security comfort) also take the place of the uuidv4 public id field.
With uuidv7 the data is naturally sorted so you don’t run into the issues with btree worst case scenarios that you would with a uuidv4 id, and you can even take it a step further and use BRIN instead of btree indexes for a massive boost (also applicable to serial ids, though).