Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Erin R Costanzo, APRNFNPC

Individual provider Family Nurse Practitioner · NPI 1649244997

Mrs. Erin R Costanzo, APRNFNPC is a Nurse Practitioner in Dallas, Georgia. Qualified in 2004, 22 years ago. Practices with Lifetime Family Medicine, LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2006
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Practice location Address checks out

7869 Villa Rica Hwy
Dallas, GA 30157
Phone: (770) 459-4411
Fax: (770) 459-2424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN146776NP (GA)

Record details

NPI number1649244997
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNFNPC
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESJanuary 19, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Lifetime Family Medicine,Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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