Maylissa Lydia Charmant, NP is a medicare enrolled "Nurse Practitioner" physician in Atlanta, Georgia. Her current practice location is
2275 Marietta Blvd Nw Ste 450, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 367-4400.
Maylissa Lydia Charmant is licensed to practice in Georgia (license number GAA-NP000646) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306578711.
Physician's Profile
Full Name | Maylissa Lydia Charmant |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 2275 Marietta Blvd Nw Ste 450, Atlanta, Georgia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Maylissa Lydia Charmant attended and graduated from in
NPI Data:
- NPI Number: 1306578711
- Provider Enumeration Date: 06/27/2022
- Last Update Date: 03/19/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Maylissa Lydia Charmant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306578711 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | GAA-NP000646 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | GAA-NP000646 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maylissa Lydia Charmant is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Maylissa Lydia Charmant, NP 2275 Marietta Blvd Nw Ste 450, Atlanta, GA 30318-2004 Ph: () - | Maylissa Lydia Charmant, NP 2275 Marietta Blvd Nw Ste 450, Atlanta, GA 30318-2004 Ph: (404) 367-4400 |
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