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
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
Atlanta Plus Urgent Care
Trident Primary Care and Wellness Clinic LLC
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240105001315 | GA | Practitioner - Nurse Practitioner | 1254782048 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Plus Primary Care LLC | Current |
Accepting new patients | |
| Atlanta Plus Urgent Care | Urgent Care | Current |
Accepting new patients |
| Trident Primary Care & Wellness Clinic LLC | Current |
Accepting new patients | |
| Flex Care of Ga LLC | Family | Current |
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
- https://fhir4.healow.com/fhir/r4/GDAHBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Angela Asprino
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- Indira R Asser
- Associated Foot & Ankle Specialists, P.C.
- At Home Healthcare and Hospice LLC
- Deveane Tatanya Atkinson
- Jayda Atkinson
- Atl Optical LLC
- Atlanta HIV Consultants
- Atlanta Neuro Care PC
All providers in Conyers, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.