ELISABETH PETTIT BERMAN (NPI# 1689059180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689059180 |
| Entity Type | Individual |
| Full Name | ELISABETH PETTIT BERMAN |
| Credential | N.P. |
| Practice Address |
59 Executive Park S Atlanta GA 30329-2208 |
| Practice Telephone | 4047787000 |
| Mailing Telephone | 4047787000 |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2015-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN114017 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
59 EXECUTIVE PARK S |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054386 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 59 Executive Park S, Suite 1300, Atlanta, GA 30329-2208 | 2005-06-24 |
| 1174143275 | Alexander Ross Webb | Student in an Organized Health Care Education/Training Program | 59 Executive Park S, Atlanta, GA 30329-2208 | 2020-04-20 |
| 1275152019 | Haley Marie Mckissack | Student in an Organized Health Care Education/Training Program | 59 Executive Park S, Atlanta, GA 30329-2208 | 2020-04-12 |
| 1609405356 | Jason Shah | Student in an Organized Health Care Education/Training Program | 59 Executive Park S, Atlanta, GA 30329-2208 | 2020-04-05 |
| 1326693656 | Shatari Grimes | Occupational Therapist | 59 Executive Park S, Atlanta, GA 30329-2208 | 2019-08-05 |
| 1245798248 | Erin Dobeck | Nurse Practitioner | 59 Executive Park S, Atlanta, GA 30329-2208 | 2019-03-08 |
| 1548793185 | Huai Ming Phen | Student in an Organized Health Care Education/Training Program | 59 Executive Park S, Suite 2000, Atlanta, GA 30329-2208 | 2017-04-11 |
| 1598128092 | Heather Schmidt | Specialist/Technologist | 59 Executive Park S, Atlanta, GA 30329-2208 | 2016-04-01 |
| 1932562824 | Cherell Lawson | Specialist/Technologist | 59 Executive Park S, Atlanta, GA 30329-2208 | 2016-03-30 |
| 1245693209 | Jordan Teboda | Specialist/Technologist | 59 Executive Park S, Atlanta, GA 30329-2208 | 2016-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1386144848 | Gabrielle Nicole Stevens | Nurse Practitioner | 980 Johnson Ferry Rd Ste 900, Atlanta, GA 30342-4768 | 2018-02-20 |
| 1316451909 | Tamika Antoinette Thompson | Nurse Practitioner | 2569 Saint Paul Dr Sw, Atlanta, GA 30331-9221 | 2017-11-20 |
| 1396268819 | Erin Bremer | Nurse Practitioner | 12 Executive Park Dr Ne Fl 4, Atlanta, GA 30329-2206 | 2017-07-18 |
| 1275063513 | Dhruvangi Sharma | Nurse Practitioner | 8095 Roswell Rd, Atlanta, GA 30350-3931 | 2017-06-19 |
| 1093191249 | Sheryl Lamb | Nurse Practitioner | 455 E Ontario Ave Sw, Atlanta, GA 30310-1505 | 2015-08-10 |
| 1831584549 | Hope A Khan | Nurse Practitioner | 7101 Saint Clair Dr Ne, Atlanta, GA 30329-2679 | 2015-03-30 |
| 1669891941 | Sherly Clairvil | Nurse Practitioner | 5825 Glenridge Dr Ste 120, Atlanta, GA 30328-5387 | 2014-04-15 |
| 1770906620 | Countiss Williams | Nurse Practitioner | 3161 Howell Mill Rd Nw Ste 400, Atlanta, GA 30327-2117 | 2014-01-29 |
| 1609207208 | Bonnie Sparks | Nurse Practitioner | 1762 Clifton Road Ne, Atlanta, GA 30022 | 2013-12-06 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on ELISABETH PETTIT BERMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.