Individual provider Active NPI

Liudmila Dzmitranitsa

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1437997285
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP288352 Issued in GA
Practice address
980 Johnson Fy Rd NE Ste 220
Atlanta, GA 30342-1623
Phone
(404) 255-5956
NPI assigned
Jul 16, 2024
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP288352 GA Primary

Addresses

Primary practice location

980 Johnson Fy Rd NE Ste 220
Atlanta, GA 30342-1623

Mailing address

4771 Laurel Walk
Dunwoody, GA 30338-4730
Phone (404) 232-5043

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
I20241212003066 GA Practitioner - Nurse Practitioner 6204362304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeastern Rheumatology AllianceGroup PAC ID 2466891353, 24 clinicians

Practice addresses (Care Compare)

980 Johnson Ferry Rd
Suite 220
Atlanta, GA 30342-1623
Phone (404) 255-5956

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP288352GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Rheumatology Alliance CurrentSince Aug 25, 2024 Accepting new patients
Southeastern Rheumatology Alliance Past Accepting new patients

Locations

700 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 532-4084

980 Johnson Fy Rd NE
Ste 220
Sandy Springs, GA 30342
Phone (404) 255-5956

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1437997285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4771 LAUREL WALK",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384730",
            "telephone_number": "404-232-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FY RD NE STE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421623",
            "telephone_number": "404-255-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZMITRANITSA",
        "first_name": "LIUDMILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP288352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.