Provider Demographics
NPI:1144780263
Name:BYRNE, MEGAN (CPNP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:BYRNE
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 CLAIREMONT AVE STE 190
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-2585
Mailing Address - Country:US
Mailing Address - Phone:404-748-9691
Mailing Address - Fax:
Practice Address - Street 1:125 CLAIREMONT AVE STE 190
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2585
Practice Address - Country:US
Practice Address - Phone:404-748-9691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-24
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPRN-NP248762363LP0200X
GARN248762163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse