MEDICARE: MY-GYN LLC

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	207VX0000X	Obstetrics Physician

General Provider Information

NPI Number	:	1811790082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY-GYN LLC

Provider Business Mailing Address
First Line	:	1014 RIVER VISTA DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2956
Country	:	US
Telephone Number	:	770-265-5787
Fax Number	:

Provider Business Practice Location Address
First Line	:	264 19TH ST NW STE 2230
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30363-1139
Country	:	US
Telephone Number	:	770-434-3800
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. ERIC L. BROWN
Credential	:	MD
Telephone Number	:	770-265-5787

Provider Enumeration Date	:	03/31/2025
Last Update Date	:	09/29/2025

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Directions to “MY-GYN LLC ” Practice Location

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