Active NPI
Summer M Bryant, N.P.
- Adult Health Nurse Practitioner
- Macon, GA
National Provider Identifier
1083650279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN154368
- Practice address
- 800 1St St Ste 410
Macon, GA 31201-8306 - Phone
- (478) 314-1658
- Fax
- (478) 743-5264
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN154368 | GA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN154368 | GA | Primary |
Addresses
Primary practice location
800 1St St Ste 410
Macon, GA 31201-8306
Mailing address
800 1St St Ste 410
Macon, GA 31201-8306
Phone (478) 314-1658
Other practice location 1
114 Sutherlin Dr Ste C-1
Warner Robins, GA 31088-2259
Phone (478) 314-1658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN154368 | GA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1083650279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 1ST ST STE 410",
"city": "MACON",
"state": "GA",
"postal_code": "312018306",
"telephone_number": "478-314-1658",
"fax_number": "478-743-5264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 1ST ST STE 410",
"city": "MACON",
"state": "GA",
"postal_code": "312018306",
"telephone_number": "478-314-1658",
"fax_number": "478-743-5264"
}
],
"practiceLocations": [
{
"address_1": "114 Sutherlin Dr Ste C-1",
"address_purpose": "LOCATION",
"city": "Warner Robins",
"state": "GA",
"postal_code": "310882259",
"country_code": "US",
"telephone_number": "478-314-1658",
"fax_number": "478-743-5264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYANT",
"first_name": "SUMMER",
"middle_name": "M",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN154368",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN154368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.