Individual provider Active NPI

Elizabeth Rose Duignam, FNP-C

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1972300051
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP324422 Issued in GA
Practice address
922 Los Angeles Ave NE
Atlanta, GA 30306-3604
Phone
(804) 357-5819
NPI assigned
Feb 26, 2025
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN324422 GA
Family Nurse Practitioner 363LF0000X NP324422 GA Primary
Registered Nurse 163W00000X RN324422 GA

Addresses

Primary practice location

922 Los Angeles Ave NE
Atlanta, GA 30306-3604

Mailing address

3505 Duluth Park LN Ste 400
Duluth, GA 30096-3203

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
I20250708003716 GA Practitioner - Nurse Practitioner 0042724445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maxa Internal Medicine Associates PCGroup PAC ID 7113831017, 6 clinicians

Practice addresses (Care Compare)

3505 Duluth Park LN
Suite 400
Duluth, GA 30096-3203
Phone (678) 597-3180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN324422GAMDAdult Health Nurse Practitioner
NP324422GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maxa Internal Medicine Associates PC CurrentSince May 7, 2025 Accepting new patients

Locations

3505 Duluth Park Ln
Ste 400
Duluth, GA 30096
Phone (678) 579-3180

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACEDBA

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": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1972300051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 DULUTH PARK LN STE 400",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 LOS ANGELES AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063604",
            "telephone_number": "804-357-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUIGNAM",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN324422",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP324422",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN324422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.