Chantae Aletha Bryant, PMH-NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN227249 Issued in GA

Practice address

500 Plantation Park Dr
Loganville, GA 30052-4144

Phone

(678) 344-8268

Fax

(888) 627-6444

NPI assigned

Oct 3, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Healing Center PC

  • Psychiatry Physician
  • Snellville, GA
  • NPI 1104149160
  NPD

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1164063814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PLANTATION PARK DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524144",
            "telephone_number": "678-344-8268",
            "fax_number": "888-627-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PLANTATION PARK DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524144",
            "telephone_number": "678-344-8268",
            "fax_number": "888-627-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "CHANTAE",
        "middle_name": "ALETHA",
        "credential": "PMH-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN227249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Brooks III, PT, DPT
• Darien Brown
• Steven Brown, DC
• Yolanda Brownlee
• Deanna Brubaker, PT
• James Frederick Buck, D.C.
• Jene Denise Bugenhagen, LPC, NCC
• Shodetta Remilekun Bun-Mansaray, FNP-C
• Alisa Joyce Burnett, O.D.
• Garrett M Burr, DPT, PT

• Psychiatric/Mental Health Nurse Practitioner in Loganville, GA
• Providers in Loganville, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.