Individual provider Active NPI

David Bryant, M.D.

  • Specialist
  • Stockbridge, GA
National Provider Identifier
1255382701
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
052394 Issued in GA
Practice address
1215 Eagles Landing Pkwy
Suite 205
Stockbridge, GA 30281-7279
Phone
(770) 389-9116
Fax
(770) 506-4580
NPI assigned
May 12, 2006
Last updated
May 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 052394 GA Primary

Addresses

Primary practice location

1215 Eagles Landing Pkwy
Suite 205
Stockbridge, GA 30281-7279

Mailing address

1215 Eagles Landing Pkwy
Suite 205
Stockbridge, GA 30281-7279
Phone (770) 389-9116

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000016 GA Practitioner - Dermatology 9335187491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Saint Louis University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1215 Eagles Landing Pkwy
Suite 205
Stockbridge, GA 30281-7280
Phone (770) 389-9116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions89
Removal or shaving of skin growth120
Skin biopsy20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
76515CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Transit Home Care Consultants, LLC CurrentSince Nov 27, 2022 Accepting new patients
Dermatology & Skin Cancer Prevention Center, Inc. Specialist CurrentSince Sep 30, 2009 Accepting new patients
D L Murray MD PC CurrentSince Aug 8, 2018 Accepting new patients

Locations

920 Dannon Vw SW
Ste 3103
Atlanta, GA 30331
Phone (404) 549-9471

2395 Wall St SE
Conyers, GA 30013

5040 Snapfinger Woods Dr
Ste 206
Decatur, GA 30035
Phone (404) 975-4684

1101 Hospital Dr
Ste 200
Stockbridge, GA 30281
Phone (478) 320-0431

1215 Eagles Landing Pkwy
Ste 205
Stockbridge, GA 30281
Phone (678) 379-3893

1215 Eagles Landing Pkwy
Ste 206
Stockbridge, GA 30281
Phone (770) 385-9116

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1255382701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 EAGLES LANDING PKWY",
            "address_2": "SUITE 205",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817279",
            "telephone_number": "770-389-9116",
            "fax_number": "770-506-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 EAGLES LANDING PKWY",
            "address_2": "SUITE 205",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817279",
            "telephone_number": "770-389-9116",
            "fax_number": "770-506-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "052394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.