Active NPI
Elizabeth Record, CPNP, DNP
- Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1528017530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN083762
- Practice address
- 5461 Meridian Mark Rd Ste 400
Atlanta, GA 30342-3283 - Phone
- (404) 785-1112
- Fax
- (404) 785-3600
- NPI assigned
- May 8, 2006
- Last updated
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | RN083762 | GA | |
| Nurse Practitioner | 363L00000X | RN083762 | GA | Primary |
Addresses
Primary practice location
5461 Meridian Mark Rd Ste 400
Atlanta, GA 30342-3283
Mailing address
5461 Meridian Mark Rd Ste 400
Atlanta, GA 30342-3283
Phone (404) 785-1112
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | choa@choa.gadirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
Interoperability endpoints
- erecord5818@choa.gadirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1528017530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5461 MERIDIAN MARK RD STE 400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303423283",
"telephone_number": "404-785-1112",
"fax_number": "404-785-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5461 MERIDIAN MARK RD STE 400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303423283",
"telephone_number": "404-785-1112",
"fax_number": "404-785-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECORD",
"first_name": "ELIZABETH",
"credential": "CPNP, DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "GA",
"license": "RN083762",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN083762",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "choa@choa.gadirect.net",
"affiliation": "N",
"address_1": "5461 Meridian Mark Rd Ste 400",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303423283",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.