MEDICARE: DR. MEGHANN GOSSETT MCKANE MD

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	208000000X	Pediatrics Physician	157509	NC
2	2080P0202X	Pediatric Cardiology Physician	48582	TN
3	2080P0202X	Pediatric Cardiology Physician	075812	GA

General Provider Information

NPI Number	:	1205060282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGHANN GOSSETT MCKANE MD

Provider Business Mailing Address
First Line	:	2970 BRANDYWINE RD STE 125
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-5521
Country	:	US
Telephone Number	:	404-256-2593
Fax Number	:	770-488-9408

Provider Business Practice Location Address
First Line	:	5461 MERIDIAN MARKS RD STE 530
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-3283
Country	:	US
Telephone Number	:	404-256-2593
Fax Number	:

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

Provider Enumeration Date	:	05/06/2009
Last Update Date	:	04/30/2026

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