Individual provider Active NPI

Bryan Stephens

  • Family Nurse Practitioner
  • Winder, GA
National Provider Identifier
1386024636
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP189936 Issued in GA
Practice address
133 W Athens St
Winder, GA 30680-1786
Phone
(770) 867-6633
NPI assigned
Jun 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 APRN-NP189936 GA Primary

Addresses

Primary practice location

133 W Athens St
Winder, GA 30680-1786

Mailing address

PO Box 459
Colbert, GA 30628-0459
Phone (706) 788-3234

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
I20160616001694 GA Practitioner - Nurse Practitioner 3476844796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

1305 Jennings Mill Rd
Suite 120
Watkinsville, GA 30677-7241
Phone (706) 410-2005

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2594 Loganville Hwy
Suite 101
Grayson, GA 30017-7848
Phone (678) 369-2790

340 Exchange Blvd
Bethlehem, GA 30620-1759
Phone (706) 413-4500

3641 Centerville Hwy
Snellville, GA 30039-6593
Phone (770) 752-4141

3711 Village Way
Suite a
Braselton, GA 30517-2201
Phone (470) 615-2661

485 Hwy 29 N
Athens, GA 30601-5583
Phone (706) 438-4080

850 Pavillion Pkwy
Monroe, GA 30656-5012
Phone (678) 395-0010

862 Harbins Rd
Suite 101
Dacula, GA 30019-2410
Phone (470) 464-8200

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP189936GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Jan 25, 2024 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1386024636",
    "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",
            "telephone_number": "706-788-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W ATHENS ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306801786",
            "telephone_number": "770-867-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "BRYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP189936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

Verify at the official NPI Registry.