1. Home
  2. Directory
  3. Georgia
  4. Duluth
  5. Nurse Practitioner
  6. NPI Profile

ELISABETH OLSEN PETERSON PNP
NPI 1104211457
Nurse Practitioner - Pediatrics in Duluth, GA

Active since April 03, 2015PECOS Enrolled
2660 SATELLITE BLVD, DULUTH, GA 30096(404) 785-8330 Get Directions Write a Review

NPPES record last updated: April 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elisabeth Olsen Peterson Pnp NPPES

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

ELISABETH OLSEN PETERSON PNP (NPI 1104211457) is an individual pediatrics provider in Duluth, Georgia, licensed in Georgia (RN234033) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104211457
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameELISABETH OLSEN PETERSONCredential: PNP
Location Address2660 SATELLITE BLVDDuluth, GA 30096-5803
Mailing Address2660 Satellite BlvdDuluth, GA 30096-5803 · (404) 785-8330
Phone(404) 785-8330
Sole ProprietorNo
Enumeration DateApril 3, 2015
✔ NPI 1104211457 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 · RN234033
2660 SATELLITE BLVD, Duluth, GA 30096
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisabeth Olsen Peterson Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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 14

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

LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
2660 SATELLITE BLVD
DULUTH, GA 30096
Gwinnett County (404) 785-8590
EGLESTON AFFLIATED SERVICES
Clinic/Center (Urgent Care)
2660 SATELLITE BLVD
DULUTH, GA 30096
Gwinnett County (404) 785-8330
DR. FARIDA KWAJI M.D.
Pediatrics
2660 SATELLITE BLVD
DULUTH, GA 30096
Gwinnett County (404) 785-8330
ALI MUHAMMAD MEMON MD
Pediatrics
2660 SATELLITE BLVD, CHILDREN'S HEALTH CARE OF ATLANTA
DULUTH, GA 30096
Gwinnett County (404) 785-8330
CAROLINE BAI DO
Pediatrics
2660 SATELLITE BLVD
DULUTH, GA 30096
Gwinnett County (404) 785-8330
NITISHA MAHAJAN MD
Pediatrics
2660 SATELLITE BLVD
DULUTH, GA 30096
Gwinnett County (404) 785-8330
CLAUDIA RODICA KUSOVSCHI RN, BSN
Registered Nurse
2660 SATELLITE BLVD
DULUTH, GA 30096
Gwinnett County (404) 785-5437
KIRAN PATEL MD
Pediatrics
2660 SATELLITE BLVD
DULUTH, GA 30096
Gwinnett County (404) 785-8330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elisabeth Peterson's NPI number?

The NPI number for Elisabeth Peterson is 1104211457. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Where is Elisabeth Peterson located?

Elisabeth Peterson practices at 2660 Satellite Blvd, Duluth, GA 30096. The listed phone number is (404) 785-8330.

What is Elisabeth Peterson's specialty?

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

Is Elisabeth Peterson enrolled in Medicare?

Yes. Elisabeth Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elisabeth Peterson was last updated on April 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.