P Praxis·MD
● Active Type 1 · Individual

Elissa Gloria Fontenot, NP

Nurse Practitioner·Lithonia, GA· NPI 1386229839 · Enumerated 2021 · 5 years on NPI
Fontenot is 1 of 11 nurse practitioner providers in Lithonia and 1 of 3206 in Georgia.
NPI age
5 years
Enumerated 2021-03-16
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
5 years
↓ 3 yr below median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-03Enumerated in NPPES
2021 2026

Where they practice

Practice location
2801 Dekalb Medical Pkwy
Lithonia, GA 300584996
📞 4045018000
Mailing address
105 Princeton Ct
Covington, GA 300162953
📞 6787933123

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    GA license #NCO-000003 taxonomy 363L00000X
  • Registered Nurse
    Definition to come...
    GA license #RN241909 taxonomy 163WG0000X

Practice context

Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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