Individual provider Active NPI

Elizabeth Wilkinson

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1740645225
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN204137 Issued in GA
Practice address
1401 Peachtree St
#220
Atlanta, GA 30309-3023
Phone
(678) 986-2711
NPI assigned
Dec 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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 RN204137 GA Primary

Addresses

Primary practice location

1401 Peachtree St
#220
Atlanta, GA 30309-3023

Mailing address

11311 Musette Cir
Alpharetta, GA 30009-8623
Phone (678) 986-2711

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
I20230207002828 GA Practitioner - Nurse Practitioner 5597137158 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twelvestone Infusion Centers LLCGroup PAC ID 6800151424, 64 clinicians

Practice addresses (Care Compare)

2925 Premiere Pkwy
Suite 145
Duluth, GA 30097-5248
Phone (844) 893-0012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN204137GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Apr 30, 2024 Accepting new patients
Premier Medical Associates PC CurrentSince Feb 21, 2023 Accepting new patients
Twelvestone Infusion Centers LLC CurrentSince May 20, 2024 Accepting new patients
The Corporation of Mercer University CurrentSince Aug 8, 2023 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Apr 30, 2024 Accepting new patients
The Corporation of Mercer University CurrentSince Aug 8, 2023 Accepting new patients
Boston Heart Diagnostics Corporation CurrentSince Feb 21, 2023 Accepting new patients
Privia Medical Group, LLC Past Accepting new patients

Locations

125 Oakside Ct
Ste 201
Canton, GA 30114

407 E Maple St
Ste 101
Cumming, GA 30040
Phone (770) 888-6697

2925 Premiere Pkwy
Ste 145
Duluth, GA 30097

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

1327 Stadium Dr
Macon, GA 31207
Phone (478) 301-2362

250 Mlk Blvd
Macon, GA 31201
Phone (478) 301-2362

1550 College St
Macon, GA 31207
Phone (478) 301-2600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAFIAD

Organizations & group practices 8

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": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1740645225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 MUSETTE CIR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098623",
            "telephone_number": "678-986-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PEACHTREE ST",
            "address_2": "#220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093023",
            "telephone_number": "678-986-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN204137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.