Active NPI
Katrina Mansfield Bryant
- Registered Nurse
- Douglasville, GA
National Provider Identifier
1114522307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN172641
- Practice address
- 8954 Hospital Dr
Douglasville, GA 30134-2272 - Phone
- (770) 949-1500
- NPI assigned
- Dec 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN172641 | GA | Primary |
Addresses
Primary practice location
8954 Hospital Dr
Douglasville, GA 30134-2272
Mailing address
3148 Primrose St
Douglasville, GA 30135-3198
Phone (404) 819-9036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN172641 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1114522307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3148 PRIMROSE ST",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301353198",
"telephone_number": "404-819-9036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8954 HOSPITAL DR",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342272",
"telephone_number": "770-949-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "KATRINA",
"middle_name": "MANSFIELD",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN172641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.