Healthcare Provider Details

I. General information

NPI: 1902790587
Provider Name (Legal Business Name): MARY MEGHAN MCAFEE DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2142 W BROAD ST BLDG 100 STE 200
ATHENS GA
30606-3509
US

IV. Provider business mailing address

PO BOX 48089
ATHENS GA
30604-8089
US

V. Phone/Fax

Practice location:
  • Phone: 706-548-6881
  • Fax: 706-546-0821
Mailing address:
  • Phone: 706-389-3740
  • Fax: 706-389-3951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number309212
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: