Provider Demographics
NPI:1609662782
Name:HAMILTON, ELENA NOELLE GOUZOS (MSN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:NOELLE GOUZOS
Last Name:HAMILTON
Suffix:
Gender:
Credentials:MSN, CPNP-PC
Other - Prefix:
Other - First Name:ELENA
Other - Middle Name:NOELLE
Other - Last Name:GOUZOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2174 N DRUID HILLS RD NE STE 120
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-3102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2174 N DRUID HILLS RD NE STE 120
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-3102
Practice Address - Country:US
Practice Address - Phone:404-785-8787
Practice Address - Fax:404-785-8788
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN301649363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics