Individual provider Active NPI

Debra Ann Myers, FNP

  • Family Nurse Practitioner
  • Athens, AL
National Provider Identifier
1750486270
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-043077 Issued in AL
Practice address
700 W Market St
Athens, AL 35611-2457
Phone
(256) 262-6393
Fax
(256) 929-7905
NPI assigned
Sep 13, 2006
Last updated
Nov 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN086957 GA
Nurse Practitioner 363L00000X 1-043077 GA
Family Nurse Practitioner 363LF0000X 1-043077 AL Primary

Addresses

Primary practice location

700 W Market St
Athens, AL 35611-2457

Mailing address

700 W Market St
Athens, AL 35611-2457
Phone (256) 262-6393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20111005000124 AL Practitioner - Nurse Practitioner 6002911641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens-Limestone ER PhysiciansGroup PAC ID 6204084502, 17 clinicians

Practice addresses (Care Compare)

700 W Market St
Athens, AL 35611-2457
Phone (256) 233-9292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-043077GAMDNurse Practitioner
1-043077ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens-Limestone ER Physicians CurrentSince Oct 1, 2012 Accepting new patients
David E Kim MD PC PastSince Jul 1, 2019 Accepting new patients
Allergy and ENT of Ga Family Medicine Past Accepting new patients
Georgia Heart Institute LLC PastSince Jan 8, 2018 Accepting new patients
Southern Health Corporation of Dahlonega, Inc Family Medicine Past Accepting new patients
Northeast Georgia Physicians Group Inc Family Medicine PastSince Apr 1, 2002 Accepting new patients

Locations

700 W Market St
Athens, AL 35611
Phone (256) 233-9292

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1750486270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W MARKET ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112457",
            "telephone_number": "256-262-6393",
            "fax_number": "256-929-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W MARKET ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112457",
            "telephone_number": "256-262-6393",
            "fax_number": "256-929-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN086957",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "1-043077",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-043077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.