Myra Ronette Atchison, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Conyers, GA

NPI 1992583801 · NPPES record last updated Sep 23, 2025

Key facts

NPI
1992583801
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN283606 (GA)
Practice address
2121 Salem Rd SE
Conyers, GA 30013-1823
Phone
(770) 679-4360
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Plus Primary Care LLC (5 clinicians)
Atlanta Plus Urgent Care (8 clinicians)
Trident Primary Care and Wellness Clinic LLC (2 clinicians)

Practice addresses (Care Compare)

2121 Salem Rd SE
Conyers, GA 30013-1823
Phone (470) 826-4051

875 Old Roswell Rd
Roswell, GA 30076-1659
Phone (678) 731-7000

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240105001315 GA Practitioner - Nurse Practitioner 1254782048 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Plus Primary Care LLC Current
since Mar 1, 2024
Accepting new patients
Atlanta Plus Urgent Care Urgent Care Current
since Nov 1, 2023
Accepting new patients
Trident Primary Care & Wellness Clinic LLC Current
since Aug 6, 2025
Accepting new patients
Flex Care of Ga LLC Family Current
since Dec 14, 2025
Accepting new patients

Locations

2121 Salem Rd SE
Conyers, GA 30013
Phone (470) 826-4051

875 Old Roswell Rd
Ste B100
Roswell, GA 30076
Phone (678) 731-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDAHBD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN283606 GA Yes

Addresses

Primary practice location

2121 Salem Rd SE
Conyers, GA 30013-1823

Mailing address

2113 Green Tree CT
Lithonia, GA 30058-5097
Phone (678) 334-6467

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 23, 2025.

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1992583801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 GREEN TREE CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585097",
            "telephone_number": "678-334-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SALEM RD SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131823",
            "telephone_number": "770-679-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATCHISON",
        "first_name": "MYRA",
        "middle_name": "RONETTE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN283606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

All providers in Conyers, GA · Family Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.