Elizabeth Gene Burnett, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002443 Issued in GA

Practice address

6625 Winters Chapel Rd
Doraville, GA 30360-1334

Phone

(404) 654-0682

NPI assigned

Jul 17, 2007

Last updated

Jun 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Manna Scholarship Fund Inc

  dba Manna Treatment

  • Adult Mental Health Clinic/Center
  • Duluth, GA
  • NPI 1083089239

  Clinical

  Medicare reassignment NPD Authorized official
• Manna Scholarship Fund

  • Counselor
  • Lawrenceville, GA
  • NPI 1962952184
  NPD Authorized official
• Egb Legacy Group, LLC

  • Clinical Psychologist
  • Doraville, GA
  • NPI 1336066927
  NPD (past) Authorized official
• Manna Treatment Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duluth, GA
  • NPI 1316007180
  NPD (past) Authorized official
• Manna Treatment LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duluth, GA
  • NPI 1225961899
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1548469695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 BRECKINRIDGE BLVD STE 116",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964932",
            "telephone_number": "770-495-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 WINTERS CHAPEL RD",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303601334",
            "telephone_number": "404-654-0682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3305 Breckinridge Blvd Ste 116",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300964932",
            "country_code": "US",
            "telephone_number": "770-495-9775",
            "fax_number": "770-495-9745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "ELIZABETH",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000881372H",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1316007180",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradford William Bolton, PHARM.D
• Brett J Bradshaw, NP
• Blakely Rae Brown
• Buford Hwy Family Dental PC
• Bulanseo Optical,Inc (Paris Optical)
• Melissa Del Carmen Candales Suarez, M.A. CCC-SLP
• Centro Internacional de Maternidad LLC (Cima)
• CGS Counseling
• Sudha Challa, MD
• Annie Chen

• Clinical Psychologist in Doraville, GA
• Providers in Doraville, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.