Individual provider Active NPI

Myrlande Cayo- Davenport

  • Family Nurse Practitioner
  • Loganville, GA
National Provider Identifier
1992293997
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN221999 Issued in GA
Practice address
3838 Elm Trace Dr
Loganville, GA 30052-8769
Phone
(678) 925-9519
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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 RN221999 GA Primary

Addresses

Primary practice location

3838 Elm Trace Dr
Loganville, GA 30052-8769

Mailing address

3838 Elm Trace Dr
Loganville, GA 30052-8769
Phone (678) 925-9519

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
I20181006000162 GA Practitioner - Nurse Practitioner 8224380076 Reassigns benefits to 5 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
Restored Health and WellnessGroup PAC ID 3072004696, 4 clinicians

Practice addresses (Care Compare)

483 Indian Trail Lilburn Rd NW
Lilburn, GA 30047-3717
Phone (770) 923-4433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restored Health Inc. CurrentSince Jun 11, 2023 Accepting new patients
Georgia Mso LLC CurrentSince Apr 15, 2025 Accepting new patients
Hardy Renew Wellness,LLC CurrentSince Jun 1, 2024 Accepting new patients
Restored Health & Wellness CurrentSince Aug 4, 2025 Accepting new patients
Wellbe Senior Medical Group of Georgia, P. C. CurrentSince Aug 20, 2023 Accepting new patients

Locations

483 Indian Trl Lilburn Rd NW
#R
Lilburn, GA 30047
Phone (770) 923-4433

483 Indian Trl Lilburn Rd NW
Lilburn, GA 30047
Phone (770) 279-2427

1640 Powers Ferry Rd SE
Bldg 15
Marietta, GA 30067
Phone (770) 722-9595

5 Concourse Pkwy
Ste 3100
Sandy Springs, GA 30328
Phone (855) 492-7642

Organizations & group practices 5

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1992293997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 ELM TRACE DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528769",
            "telephone_number": "678-925-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 ELM TRACE DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528769",
            "telephone_number": "678-925-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYO- DAVENPORT",
        "first_name": "MYRLANDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN221999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

Verify at the official NPI Registry.