ELIZABETH ANNE EATON APRN, CPNP
NPI 1073094918
Nurse Practitioner - Pediatrics in Atlanta, GA

Q: What is Elizabeth Eaton's NPI number?

The NPI number for Elizabeth Eaton is 1073094918. It was assigned to this individual provider in the NPPES registry on August 28, 2018. The provider is also known as Elizabeth Anne Bolen.

Q: What is Elizabeth Eaton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Eaton was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 28, 2018PECOS EnrolledAccepts Medicare Assignment

1405 CLIFTON RD NE, ATLANTA, GA 30322(404) 785-7174 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2024, Feb 7, 2023, Aug 3, 2022 and 1 more (4 updates tracked since 2018).

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About Elizabeth Anne Eaton Aprn, Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH ANNE EATON APRN, CPNP (NPI 1073094918) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (331074) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Children's Healthcare Of Atlanta At Egleston, and is a graduate of University Of South Florida College Of Medicine (2017).

NPPES Registry Identity

NPI1073094918

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameELIZABETH ANNE EATONCredential: APRN, CPNP

Location Address1405 CLIFTON RD NEAtlanta, GA 30322-3491

Mailing Address1405 Clifton Rd NeAtlanta, GA 30322-1060 · (404) 785-7174

Phone(404) 785-7174

Sole ProprietorNo

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2017

Enumeration DateAugust 28, 2018

Last NPPES UpdateSeptember 9, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2024

✔ NPI 1073094918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in GA · 331074

1405 CLIFTON RD NE, Atlanta, GA 30322

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Other Names 1

Former Name (1)Elizabeth Anne Bolen

Other Identifiers 1

Medicaid465641382OK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Anne Eaton Aprn, Cpnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052781515

PECOS Enrollment IDI20241203004670

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Children's Healthcare Of Atlanta At Egleston

Childrens · Atlanta, GA

OwnershipVoluntary non-profit - Private

CMS Certification Number113300

Location1405 Clifton Road, NEAtlanta, GA 30322 · De Kalb County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARRIE NG MD

Pediatrics (Pediatric Emergency Medicine)