Individual provider Active NPI

Eileen Neizer, NP-C

  • Family Nurse Practitioner
  • East Point, GA
National Provider Identifier
1306596382
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP302261 Issued in GA
Practice address
1100 Cleveland Ave
East Point, GA 30344-3602
Phone
(404) 564-6778
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 302261 GA
Family Nurse Practitioner 363LF0000X APRN-NP302261 GA Primary
Family Nurse Practitioner 363LF0000X F348650 NY

Addresses

Primary practice location

1100 Cleveland Ave
East Point, GA 30344-3602

Mailing address

1963 Highway 138 SW
Riverdale, GA 30296-1880

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
I20221213002771 GA Practitioner - Nurse Practitioner 6002285053 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State Un of Ny, Stony Brook School of Dental Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206

8028 Senoia Rd
Suite 100
Fairburn, GA 30213-2864
Phone (404) 596-4329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302261GAMDFamily Nurse Practitioner
APRN-NP302261GAMDFamily Nurse Practitioner
F348650NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Medical Center, Inc. CurrentSince Sep 12, 2022 Accepting new patients
Wellstreet of Georgia PC CurrentSince Jan 14, 2025 Accepting new patients
The Southeast Permanente Medical Group CurrentSince Mar 28, 2026 Accepting new patients
Southside Medical Center, Inc CurrentSince Sep 12, 2022 Accepting new patients
Southside Medical Center, Inc. Past Accepting new patients

Locations

1046 Ridge Ave SW
Atlanta, GA 30315
Phone (404) 564-6942

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

1100 Cleveland Ave
East Point, GA 30344
Phone (404) 564-7063

8028 Senoia Rd
Ste 100
Fairburn, GA 30213
Phone (404) 596-4329

Interoperability endpoints

  • Direct secure messaging: eileen.neizer.p1@direct.smcmed.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1306596382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 HIGHWAY 138 SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443602",
            "telephone_number": "404-564-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIZER",
        "first_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "302261",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP302261",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.