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TAIDESHA CHANEL MYRICK NP
NPI 1710711684
Nurse Practitioner - Adult Health in Conyers, GA

Active since August 31, 2024PECOS Enrolled
2035 FLAT SHOALS RD SE, CONYERS, GA 30013(770) 922-1778 Get Directions Write a Review

NPPES record last updated: August 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Taidesha Chanel Myrick Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAIDESHA CHANEL MYRICK NP (NPI 1710711684) is an individual adult health provider in Conyers, Georgia, licensed in Georgia (RN298582) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2021).

NPPES Registry Identity

NPI1710711684
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTAIDESHA CHANEL MYRICKCredential: NP
Location Address2035 FLAT SHOALS RD SEConyers, GA 30013-1809
Mailing AddressPo Box 3413Decatur, GA 30031-3413
Phone(770) 922-1778
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2021
Enumeration DateAugust 31, 2024
NPPES CertifiedAugust 31, 2024
✔ NPI 1710711684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN298582
2035 FLAT SHOALS RD SE, Conyers, GA 30013
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taidesha Chanel Myrick Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476058918
PECOS Enrollment IDI20250925000650
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Taidesha Myrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Caedel Medical Group
27 mi
Internal Medicine
1324 HIGHWAY 138 SW
Riverdale, GA 30296
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
NPI 1710922075 (770) 907-4949

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KIREN TUSHAR NP
Nurse Practitioner (Family)
2035 FLAT SHOALS RD SE
CONYERS, GA 30013
Rockdale County (770) 922-1778
LATORYA DAVONE RICHARDSON
Nurse Practitioner (Primary Care)
2035 FLAT SHOALS RD SE
CONYERS, GA 30013
Rockdale County (770) 233-7202
ANIL PATEL MD
Internal Medicine
2035 FLAT SHOALS RD SE
CONYERS, GA 30013
Rockdale County (770) 922-1778
JADA HARRISON APRN, FNP
Registered Nurse
2035 FLAT SHOALS RD SE
CONYERS, GA 30013
Rockdale County (404) 664-3873
CALYN KELLY FNP-C
Nurse Practitioner (Family)
2035 FLAT SHOALS RD SE
CONYERS, GA 30013
Rockdale County (770) 992-1778
KAUSHIK AMIN MD
Internal Medicine
2035 FLAT SHOALS RD SE
CONYERS, GA 30013
Rockdale County (770) 922-1778
ERICKA ANDREA HOWELL NP-C
Nurse Practitioner (Family)
2035 FLAT SHOALS RD SE
CONYERS, GA 30013
Rockdale County (770) 922-1778
ALLANIS LISBETH-MARIE MILLS FNP-C
Nurse Practitioner (Family)
2035 FLAT SHOALS RD SE
CONYERS, GA 30013
Rockdale County (770) 922-1778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taidesha Myrick's NPI number?

The NPI number for Taidesha Myrick is 1710711684. It was assigned to this individual provider in the NPPES registry on August 31, 2024.

Where is Taidesha Myrick located?

Taidesha Myrick practices at 2035 Flat Shoals Rd SE, Conyers, GA 30013. The listed phone number is (770) 922-1778.

What is Taidesha Myrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Taidesha Myrick enrolled in Medicare?

Yes. Taidesha Myrick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Taidesha Myrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taidesha Myrick reassigns Medicare benefits to Caedel Medical Group (Riverdale, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taidesha Myrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taidesha Myrick accept?

Health plans from Oscar Health list Taidesha Myrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taidesha Myrick was last updated on August 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.