MEDICARE: FLEX CARE OF GA

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1598629164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLEX CARE OF GA

Provider Business Mailing Address
First Line	:	2113 GREEN TREE CT
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30058-5097
Country	:	US
Telephone Number	:	678-334-6467
Fax Number	:

Provider Business Practice Location Address
First Line	:	2113 GREEN TREE CT
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30058-5097
Country	:	US
Telephone Number	:	678-334-6467
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	MYRA ATCHISON
Credential	:	DNP-FNP-BC
Telephone Number	:	678-334-6467

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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