Individual provider Active NPI

Retta Sugarpea Bright

  • Psychiatric/Mental Health Nurse Practitioner
  • Douglasville, GA
National Provider Identifier
1174928667
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN172923 Issued in GA
Practice address
3400 Chapel Hill Rd Ste 325
Douglasville, GA 30135-1739
Phone
(470) 613-1249
NPI assigned
Oct 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN172923 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN172923 GA Primary

Addresses

Primary practice location

3400 Chapel Hill Rd Ste 325
Douglasville, GA 30135-1739

Mailing address

3400 Chapel Hill Rd Ste 325
Douglasville, GA 30135-1739
Phone (470) 613-1249

Other names 1

  • Retta Sugarpea Telo Former name

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
I20160823002104 GA Practitioner - Nurse Practitioner 4587959093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8333 Office Park Dr
Douglasville, GA 30134-6937
Phone (470) 613-1249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN172923GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Impact Now Psychiatry LLC Psychiatric/Mental Health CurrentSince Sep 11, 2024 Accepting new patients
Georgia Bio Behavioral Associates CurrentSince Jan 20, 2023 Accepting new patients

Locations

8333 Office Park Dr
Douglasville, GA 30134
Phone (404) 491-9916

3400 Chapel Hill Rd
Douglasville, GA 30135
Phone (404) 973-8920

3400 Chapel Hill Rd
Ste 325
Douglasville, GA 30135
Phone (470) 613-1249

4546 Barclay Dr
Ste B
Dunwoody, GA 30338
Phone (770) 457-7994

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1174928667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CHAPEL HILL RD STE 325",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351739",
            "telephone_number": "470-613-1249",
            "fax_number": "470-410-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CHAPEL HILL RD STE 325",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351739",
            "telephone_number": "470-613-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "RETTA",
        "middle_name": "SUGARPEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN172923",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN172923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RETTA",
            "last_name": "TELO",
            "middle_name": "SUGARPEA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.