Active NPI
Elizabeth Peterson
- Women's Health Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1235887001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN302593
- Practice address
- 105 Collier Rd NW Ste 1080
Atlanta, GA 30309-1753 - Phone
- (404) 352-2850
- NPI assigned
- Mar 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN302593 | GA | |
| Women's Health Nurse Practitioner | 363LW0102X | RN302593 | GA | Primary |
Addresses
Primary practice location
105 Collier Rd NW Ste 1080
Atlanta, GA 30309-1753
Mailing address
105 Collier Rd NW Ste 1080
Atlanta, GA 30309-1753
Phone (404) 352-2850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN302593 | GA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1235887001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 COLLIER RD NW STE 1080",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091753",
"telephone_number": "404-352-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 COLLIER RD NW STE 1080",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091753",
"telephone_number": "404-352-2850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-11",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN302593",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN302593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.