ELIZA MATTSON ANTONOWICH CPNP-PC
NPI 1639877954
Nurse Practitioner - Pediatrics in Lawrenceville, GA

Active since February 16, 2023
595 HURRICANE SHOALS RD NW STE 300, LAWRENCEVILLE, GA 30046(770) 995-0823 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eliza Mattson Antonowich Cpnp-pc NPPES

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

ELIZA MATTSON ANTONOWICH CPNP-PC (NPI 1639877954) is an individual pediatrics provider in Lawrenceville, Georgia, licensed in Georgia (RN318173) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1639877954
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameELIZA MATTSON ANTONOWICHCredential: CPNP-PC
Location Address595 HURRICANE SHOALS RD NW STE 300Lawrenceville, GA 30046-8762
Mailing Address5010 Gallatree LnPeachtree Corners, GA 30092-1218 · (678) 654-0681
Sole ProprietorNo
Enumeration DateFebruary 16, 2023
NPPES CertifiedDecember 2, 2022
NPI 1639877954 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 · RN318173
595 HURRICANE SHOALS RD NW STE 300, Lawrenceville, GA 30046

Other Providers at the Same Location NPPES

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

Pediatrics
595 HURRICANE SHOALS RD NW STE 300
LAWRENCEVILLE, GA 30046

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 Eliza Antonowich's NPI number?

The NPI number for Eliza Antonowich is 1639877954. It was assigned to this individual provider in the NPPES registry on February 16, 2023.

Where is Eliza Antonowich located?

Eliza Antonowich practices at 595 Hurricane Shoals Rd NW Ste 300, Lawrenceville, GA 30046. The listed phone number is (770) 995-0823.

What is Eliza Antonowich's specialty?

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

When was this NPI record last updated?

The NPPES record for Eliza Antonowich was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.