Healthcare Provider Details

I. General information

NPI: 1205060282
Provider Name (Legal Business Name): MEGHANN GOSSETT MCKANE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGHANN VIRGINIA GOSSETT MD

II. Dates (important events)

Enumeration Date: 05/06/2009
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5461 MERIDIAN MARKS RD STE 530
ATLANTA GA
30342-3283
US

IV. Provider business mailing address

2970 BRANDYWINE RD STE 125
ATLANTA GA
30341-5521
US

V. Phone/Fax

Practice location:
  • Phone: 404-256-2593
  • Fax:
Mailing address:
  • Phone: 404-256-2593
  • Fax: 770-488-9408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number157509
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number48582
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number075812
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: