Individual provider Active NPI

Deaudrey Stokes Byrd, FNP-BC

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1851817886
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN228964 Issued in GA
Practice address
26 Tower Rd NE
Marietta, GA 30060
Phone
(770) 422-8913
NPI assigned
Aug 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN228964 GA Primary

Addresses

Primary practice location

26 Tower Rd NE
Marietta, GA 30060

Mailing address

7421 Douglas Blvd Ste N443
Douglasville, GA 30135-1564
Phone (678) 523-9046

Other practice location 1

2650 Highway 138 E
Jonesboro, GA 30236-2744

Other identifiers 1

IdentifierTypeStateIssuer
003195902AMedicaidGA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171018000696 GA Practitioner - Nurse Practitioner 8022384171 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004

677 Church Nest
Marietta, GA 30060-1101

677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN228964GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SHC Medical Partners of Georgia, LLC CurrentSince Sep 1, 2017 Accepting new patients
Hardy Renew Wellness,LLC CurrentSince Jan 20, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2019 Accepting new patients
Deaudrey Byrd Current Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Post Acute Care Leaders LLC CurrentSince Dec 1, 2018 Accepting new patients
Physiatry Consultants of Ga LLC CurrentSince May 5, 2024 Accepting new patients
Gencare Health and Caregiver Services LLC Family CurrentSince Mar 29, 2020 Accepting new patients

Locations

54 Peachtree Park Dr NE
Atlanta, GA 30309
Phone (404) 351-6041

156 Pine Knoll Dr
Carrollton, GA 30117
Phone (770) 832-8243

7421 Douglas Blvd
Ste N443
Douglasville, GA 30135

2650 Highway 138 E
Jonesboro, GA 30236
Phone (256) 457-4618

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

26 Tower Rd NE
Marietta, GA 30060
Phone (770) 422-8913

3460 Powder Springs Rd
Powder Springs, GA 30127
Phone (770) 439-9199

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1851817886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 DOUGLAS BLVD STE N443",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351564",
            "telephone_number": "678-523-9046",
            "fax_number": "802-277-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 TOWER RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-422-8913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Highway 138 E",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "302362744",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "DEAUDREY",
        "middle_name": "STOKES",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN228964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003195902A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.