Active NPI
Carol Poole Bryant, RN
- Community Health Registered Nurse
- Augusta, GA
National Provider Identifier
1396058863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN 50858
- Practice address
- 950 Laney Walker Blvd
Augusta, GA 30901-2960 - Phone
- (706) 721-5909
- Fax
- (706) 721-5903
- NPI assigned
- Jul 26, 2010
- Last updated
- Jul 26, 2010
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN 50858 | GA | Primary |
Addresses
Primary practice location
950 Laney Walker Blvd
Augusta, GA 30901-2960
Mailing address
4134 Fair Oaks Rd
Martinez, GA 30907-2193
Phone (706) 799-0641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN 50858 | Other | GA | GEORGIA BOARD OF NURSING |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 50858 | GA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1396058863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4134 FAIR OAKS RD",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309072193",
"telephone_number": "706-799-0641",
"fax_number": "706-863-7460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 LANEY WALKER BLVD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012960",
"telephone_number": "706-721-5909",
"fax_number": "706-721-5903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "CAROL",
"middle_name": "POOLE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-26",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "GA",
"license": "RN 50858",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA BOARD OF NURSING",
"identifier": "RN 50858",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.