Active NPI
Bradleigh Dyer-McPherson, FNP
- Family Nurse Practitioner
- Ellijay, GA
National Provider Identifier
1154544575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Practice address
- 350 Colwell Church Rd. Epworth, Ga 30541
28 Southside Church St.
Ellijay, GA 30540 - Phone
- (706) 635-4363
- NPI assigned
- Apr 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | GA | Primary |
Addresses
Primary practice location
350 Colwell Church Rd. Epworth, Ga 30541
28 Southside Church St.
Ellijay, GA 30540
Mailing address
350 Colwell Church Rd.
Epworth, GA 30541
Phone (706) 258-2580
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0073330-22 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilmer County Board of Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gilmer County Health Department
- Public Health or Welfare Agency
- Ellijay, GA
- NPI 1659345627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154544575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 COLWELL CHURCH RD.",
"city": "EPWORTH",
"state": "GA",
"postal_code": "30541",
"telephone_number": "706-258-2580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 COLWELL CHURCH RD. EPWORTH, GA 30541",
"address_2": "28 SOUTHSIDE CHURCH ST.",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "30540",
"telephone_number": "706-635-4363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER-MCPHERSON",
"first_name": "BRADLEIGH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellijay, GA
- Maggie Louise Dear, PA
- Dialysis of North Atlanta LLC (Ellijay Dialysis)
- Dietary Apothecary Inc.
- Michael R Doucette Jr., LDO
- Draneco Inc (Ellijays Bestrx)
- Ellijay Center for Change, PC
- Jackie Dwayne Ellington, EMT
- Stacey Lynne Evans-Paulin, PA-C
- Family Life Chiropractic Center III
- Robert Stephen Feldman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.