Elissa Gloria Fontenot, NP - Nurse Practitioner in Lithonia, GA

Elissa Gloria Fontenot, NP is a Nurse Practitioner based in Lithonia, Georgia. Elissa Gloria Fontenot is licensed to practice in Georgia (license number NCO-000003) and her current practice location is 2801 Dekalb Medical Pkwy, Lithonia, Georgia. She can be reached at her office (for appointments etc.) via phone at (404) 501-8000.

NPI number for Elissa Gloria Fontenot is 1386229839 and her current mailing address is 105 Princeton Ct, Covington, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386229839.

Contact Information

Elissa Gloria Fontenot, NP
2801 Dekalb Medical Pkwy,
Lithonia, GA 30058-4996
(404) 501-8000
Not Available



Provider's Profile

Full NameElissa Gloria Fontenot
GenderFemale
SpecialityNurse Practitioner
Location2801 Dekalb Medical Pkwy, Lithonia, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386229839
  • Provider Enumeration Date: 03/16/2021
  • Last Update Date: 03/16/2021

Medical Identifiers

Medical identifiers for Elissa Gloria Fontenot such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386229839NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice RN241909 (Georgia)Secondary
363L00000XNurse Practitioner NCO-000003 (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. Elissa Gloria Fontenot 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
Elissa Gloria Fontenot, NP
105 Princeton Ct,
Covington, GA 30016-2953

Ph: (678) 793-3123
Elissa Gloria Fontenot, NP
2801 Dekalb Medical Pkwy,
Lithonia, GA 30058-4996

Ph: (404) 501-8000

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› Verified 2 days ago


Nurse Practitioner Nurses in Lithonia, GA

Agnes P Oyewo, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Office, Lithonia, GA 30058
Phone: 770-322-2777    Fax: 678-610-6025
Ms. Tonecesa Burtton, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6231 Waterton Way, Lithonia, GA 30058
Phone: 770-462-9202    
Ms. Abisola A Ajayi, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5700 Hillandale Dr, Suite 250, Lithonia, GA 30058
Phone: 770-981-5431    Fax: 770-981-5515
Lenice Murdock-cohen,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3641 Raiders Ridge Dr, Lithonia, GA 30038
Phone: 404-444-0649    
Glory Abuajah,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2801 Dekalb Medical Pkwy, Lithonia, GA 30058
Phone: 404-501-8460    
Mr. Simon Njelefack Ekokobe,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1487 Alice Ave, Lithonia, GA 30058
Phone: 404-314-0776    
Mrs. Lisa Marie Rose-cantrell, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5440 Hillandale Drive, Kaiser Permanente Panola Medical Center, Lithonia, GA 30058
Phone: 770-322-3216    Fax: 770-938-1759

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