Active NPI
Beth C Bryant, APRN
- Women's Health Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1386769578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN061119
- Practice address
- 960 Johnson Ferry Rd Ste 130
Atlanta, GA 30342-1601 - Phone
- (404) 300-2990
- Fax
- (404) 300-2986
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN061119 | GA | Primary |
Addresses
Primary practice location
960 Johnson Ferry Rd Ste 130
Atlanta, GA 30342-1601
Mailing address
1120 15TH St
Ba 8300
Augusta, GA 30912-0004
Phone (706) 446-5802
Other practice location 1
1120 15th St
Ba 8300
Augusta, GA 30912-0004
Phone (706) 446-5802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1386769578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"address_2": "BA 8300",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-446-5802",
"fax_number": "706-721-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 JOHNSON FERRY RD STE 130",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421601",
"telephone_number": "404-300-2990",
"fax_number": "404-300-2986"
}
],
"practiceLocations": [
{
"address_1": "1120 15th St",
"address_2": "BA 8300",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120004",
"country_code": "US",
"telephone_number": "706-446-5802",
"fax_number": "706-721-3838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYANT",
"first_name": "BETH",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN061119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.