Audra Kathleen Myers, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN239189 Issued in GA

Practice address

810 Pine St
Gainesville, GA 30501-6754

Phone

(770) 503-1369

NPI assigned

Feb 7, 2019

Last updated

Jul 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Highlands Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cumming, GA
  • NPI 1174529192
  Medicare reassignment NPD
• Georgia Highlands Medical Services Inc

  • Federally Qualified Health Center (FQHC)
  • Buford, GA
  • NPI 1427762707
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1053876714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 LUMPKIN CAMPGROUND RD S",
            "address_2": "STE 100",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305340988",
            "telephone_number": "770-709-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 PINE ST",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305016754",
            "telephone_number": "770-503-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "AUDRA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN239189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Cannon Musick, PHARM.D.
• Husamelden B Mustafa, MD
• Muhareb Mustafa, MD
• Chad Jamison Muxlow, D.O.
• My Harvest Inc. (My Harvest CRA)
• Paula Criselda Lee Nacionales
• Padma C Nadella, M.D
• Ryan Michael Nadelson, MD
• Bilal Naeem, DO
• Alan F Nagel, MD

• Family Nurse Practitioner in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.