Individual provider Active NPI

Bryan Kelly McDonald, FNP-C

  • Family Nurse Practitioner
  • Clayton, GA
National Provider Identifier
1164129128
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN257567 Issued in GA
Practice address
811 Highway 441 N Ste 100
Clayton, GA 30525-6446
Phone
(706) 782-5991
NPI assigned
Feb 10, 2023
Last updated
May 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN257567 GA Primary

Addresses

Primary practice location

811 Highway 441 N Ste 100
Clayton, GA 30525-6446

Mailing address

PO Box 459
Colbert, GA 30628-0459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230419000800 GA Practitioner - Nurse Practitioner 0446625701 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medlink Georgia IncGroup PAC ID 3274442850, 93 clinicians

Practice addresses (Care Compare)

162 Legacy PT
Clayton, GA 30525-5354
Phone (706) 782-3100

811 Hwy 441 N
Suite 100
Clayton, GA 30525-4202
Phone (706) 782-5991

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN257567GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Resources Management of Rabun, LLC CurrentSince Sep 1, 2023 Accepting new patients
Medlink Georgia Inc CurrentSince May 4, 2026 Accepting new patients
Professional Resources Management of Rabun LLC Past Accepting new patients
Medlink Georgia Inc PastSince May 4, 2026 Accepting new patients
Professional Resource MGMT of Rabun, LLC Past Accepting new patients
Mlmcuc, LLC PastSince Oct 1, 2020 Accepting new patients

Locations

162 Legacy Pt
Clayton, GA 30525
Phone (706) 782-0408

162 Legacy Pt
Ste C
Clayton, GA 30525
Phone (706) 960-9533

811 Highway 441 N
Ste 100
Clayton, GA 30525
Phone (706) 782-5991

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13027/brand/8/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/mtlake-2b448abd

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1164129128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "COLBERT",
            "state": "GA",
            "postal_code": "306280459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 HIGHWAY 441 N STE 100",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305256446",
            "telephone_number": "706-782-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "BRYAN",
        "middle_name": "KELLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-10",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN257567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, GA

Sources for this page

Verify at the official NPI Registry.