Healthcare Provider Details

I. General information

NPI: 1598629164
Provider Name (Legal Business Name): FLEX CARE OF GA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2113 GREEN TREE CT
LITHONIA GA
30058-5097
US

IV. Provider business mailing address

2113 GREEN TREE CT
LITHONIA GA
30058-5097
US

V. Phone/Fax

Practice location:
  • Phone: 678-334-6467
  • Fax:
Mailing address:
  • Phone: 678-334-6467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MYRA ATCHISON
Title or Position: NURSE PRACTITIONER
Credential: DNP-FNP-BC
Phone: 678-334-6467