Individual provider Active NPI

Dantrel Deshun Drayer, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1427875988
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN314592 Issued in GA
Practice address
1073 Greenbriar Cir
Decatur, GA 30033-4404
Phone
(201) 606-2400
NPI assigned
Sep 25, 2024
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN314592 GA Primary

Addresses

Primary practice location

1073 Greenbriar Cir
Decatur, GA 30033-4404

Mailing address

2155 Post Oak Tritt Rd
Marietta, GA 30062-8620
Phone (678) 383-9532

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

State licenses

LicenseStateTypeSpecialty
RN314592GAMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: connectedmindsllc.drayerdantrel@150028.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1427875988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 POST OAK TRITT RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628620",
            "telephone_number": "678-383-9532",
            "fax_number": "678-302-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 GREENBRIAR CIR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334404",
            "telephone_number": "201-606-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAYER",
        "first_name": "DANTREL",
        "middle_name": "DESHUN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-25",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN314592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.