MEDICARE: MEGAN SKELLEY MSN, NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	RN216471	GA

General Provider Information

NPI Number	:	1164907242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN SKELLEY MSN, NP-C

Provider Business Mailing Address
First Line	:	724 ROCK SPRINGS CT NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-2328
Country	:	US
Telephone Number	:	678-977-7387
Fax Number	:

Provider Business Practice Location Address
First Line	:	487 WINN WAY STE 202
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30030-1728
Country	:	US
Telephone Number	:	404-294-0702
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2018
Last Update Date	:	12/17/2025

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