Individual provider Active NPI

Linda Enjema

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1720659980
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN274835 Issued in GA
Practice address
4938 Zoya CT SW
Atlanta, GA 30331-7527
Phone
(404) 729-5437
Fax
(404) 745-8399
NPI assigned
Jul 8, 2021
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN274835 GA Primary
Adult Medicine Physician 207QA0505X RN274835 GA

Addresses

Primary practice location

4938 Zoya CT SW
Atlanta, GA 30331-7527

Mailing address

4938 Zoya CT SW
Atlanta, GA 30331-7527
Phone (404) 729-5437

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

LicenseStateTypeSpecialty
RN274835GAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liquid Life Wellness CurrentSince Oct 31, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1720659980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4938 ZOYA CT SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317527",
            "telephone_number": "404-729-5437",
            "fax_number": "404-745-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4938 ZOYA CT SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317527",
            "telephone_number": "404-729-5437",
            "fax_number": "404-745-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENJEMA",
        "first_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN274835",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "RN274835",
            "primary": false
        }
    ],
    "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 Mar 27, 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.

Verify at the official NPI Registry.