Eliza Mattson Antonowich, CPNP-PC - Nurse Practitioner in Lawrenceville, GA

Eliza Mattson Antonowich, CPNP-PC is a Nurse Practitioner - Pediatrics based in Lawrenceville, Georgia. Eliza Mattson Antonowich is licensed to practice in Georgia (license number RN318173) and her current practice location is 595 Hurricane Shoals Rd Nw Ste 300, Lawrenceville, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 995-0823.

NPI number for Eliza Mattson Antonowich is 1639877954 and her current mailing address is 5010 Gallatree Ln, Peachtree Corners, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639877954.

Contact Information

Eliza Mattson Antonowich, CPNP-PC
595 Hurricane Shoals Rd Nw Ste 300,
Lawrenceville, GA 30046-8762
(770) 995-0823
Not Available

Map and Direction




Provider's Profile

Full NameEliza Mattson Antonowich
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location595 Hurricane Shoals Rd Nw Ste 300, Lawrenceville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639877954
  • Provider Enumeration Date: 02/16/2023
  • Last Update Date: 02/16/2023

Medical Identifiers

Medical identifiers for Eliza Mattson Antonowich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639877954NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics RN318173 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eliza Mattson Antonowich is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eliza Mattson Antonowich, CPNP-PC
5010 Gallatree Ln,
Peachtree Corners, GA 30092-1218

Ph: (678) 654-0681
Eliza Mattson Antonowich, CPNP-PC
595 Hurricane Shoals Rd Nw Ste 300,
Lawrenceville, GA 30046-8762

Ph: (770) 995-0823

Reviews and Comments


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