Samantha Bryant, APC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

APC007367 Issued in GA

Practice address

555 Sun Valley Dr Ste M2
Roswell, GA 30076-5631

Phone

(678) 381-1687

NPI assigned

Feb 24, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1134875503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 ECTOR PL NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526216",
            "telephone_number": "404-290-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE M2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765631",
            "telephone_number": "678-381-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "SAMANTHA",
        "credential": "APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC007367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HttpWww.Peachtreepsychology.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "555 Sun Valley Dr Ste M2",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300765631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.Peachtreepsychology.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "555 Sun Valley Dr Ste M2",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300765631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HttpWww.Peachtreepsychology.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "555 Sun Valley Dr Ste M2",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300765631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.Peachtreepsychology.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "555 Sun Valley Dr Ste M2",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300765631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen K Bruno, MD
• Scott Gunter Brunson, HAD
• Holly Katherine Bryant, PT, DPT
• Jarbriel Bryant, LCSW
• Kim Carole Bryant, OTR/L
• Nicole Bryson, CRNA
• Farah Abdi Buck, APRN, FNP-BC
• Ryan Joseph Buck, BA
• John William Buckelew Jr.
• Buckhead Behavioral Health

• Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.