Individual provider Active NPI

Myra Ronette Atchison, FNP-BC

  • Family Nurse Practitioner
  • Conyers, GA
National Provider Identifier
1992583801
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN283606 Issued in GA
Practice address
2121 Salem Rd SE
Conyers, GA 30013-1823
Phone
(770) 679-4360
NPI assigned
Sep 20, 2023
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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 RN283606 GA Primary

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

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
I20240105001315 GA Practitioner - Nurse Practitioner 1254782048 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Plus Primary Care LLCGroup PAC ID 3072984111, 5 clinicians
Atlanta Plus Urgent CareGroup PAC ID 9133453368, 8 clinicians
Trident Primary Care and Wellness Clinic LLCGroup PAC ID 6800236316, 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

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

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, 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": "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

Sources for this page

Verify at the official NPI Registry.