Becca Churchwell, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN269847 Issued in GA

Practice address

4351 Olde Perimeter Way
#200 Ste 110
Atlanta, GA 30346

Phone

(334) 590-1100

NPI assigned

Jul 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1265955652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 RIVER CIR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303504727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 OLDE PERIMETER WAY",
            "address_2": "#200 STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30346",
            "telephone_number": "334-590-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHWELL",
        "first_name": "BECCA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN269847",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN269847",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RN269847",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Thomas Church, PA-C
• Kylee Brown Church
• Michael Church
• Marissa Mundy Churchill, M.S., LPC, NCC
• Danielle P Churchman
• Amber Danielle Churn
• Phyllis Churn
• Yelena Jane Chuzhin, D.M.D.
• Yvette Cianfaglione
• Louis Nicholas Ciardulli, M.D.

• Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.