MEDICARE: MRS. DARTISS MAY CHEVALIER PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	212407	GA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	403115	NY
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN212407	GA

General Provider Information

NPI Number	:	1801434691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DARTISS MAY CHEVALIER PMHNP-BC

Provider Business Mailing Address
First Line	:	2230 WEATHERSTONE CIR SE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30094-2075
Country	:	US
Telephone Number	:	678-939-3660
Fax Number	:

Provider Business Practice Location Address
First Line	:	1808 OVER LAKE DR SE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-6608
Country	:	US
Telephone Number	:	770-389-8100
Fax Number	:

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

Provider Enumeration Date	:	12/12/2019
Last Update Date	:	11/13/2023

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