P Praxis·MD
● Active Type 1 · Individual

Taidesha Chanel Myrick, NP

Nurse Practitioner·Conyers, GA· NPI 1710711684 · Enumerated 2024 · 1 years on NPI
Myrick is 1 of 10 nurse practitioner providers in Conyers and 1 of 806 in Georgia.
NPI age
1 years
Enumerated 2024-08-31
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 806 active nurse practitioner providers in Georgia.

NPI age
1 years
↓ 10 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-08Enumerated in NPPES
2024 2026

Where they practice

Practice location
2035 Flat Shoals Rd Se
Conyers, GA 300131809
📞 7709221778
Mailing address
Po Box 3413
Decatur, GA 300313413

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN298582 taxonomy 363LA2200X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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