Healthcare Provider Details

I. General information

NPI: 1114867959
Provider Name (Legal Business Name): MEGAN COX RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5456 PEACHTREE BLVD
CHAMBLEE GA
30341-2235
US

IV. Provider business mailing address

4416 LEGACY MILL DR
ELLENWOOD GA
30294-2045
US

V. Phone/Fax

Practice location:
  • Phone: 470-658-7621
  • Fax:
Mailing address:
  • Phone: 470-658-7621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN714742
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: