Individual provider Active NPI

Nykia-George Anthea Bryan

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1477178747
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9113144 Issued in FL
Practice address
12500 S Apopka Vineland Rd
Orlando, FL 32836-6723
Phone
(407) 934-2273
NPI assigned
Jun 12, 2020
Last updated
Jul 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9113144 FL Primary

Addresses

Primary practice location

12500 S Apopka Vineland Rd
Orlando, FL 32836-6723

Mailing address

2384 Sentry Palm Dr Apt 113
Apopka, FL 32703-0055
Phone (352) 509-0087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20201110002370 FL Practitioner - Physician Assistant 6406266063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12500 S Apopka Vineland Rd
Orlando, FL 32836-6723
Phone (407) 934-2273

1360 Saxon Blvd
Orange City, FL 32763-8416
Phone (386) 917-0074

19015 US Hwy 441
Mount Dora, FL 32757-6708
Phone (352) 383-3484

2301 Sand Lake Rd
Orlando, FL 32809-7639
Phone (407) 851-6478

2715 E Semoran Blvd
Adventhealth Centra Care Hunt Club
Apopka, FL 32703-5802
Phone (321) 248-7230

3005 Daniels Rd
Winter Garden, FL 34787-7002
Phone (407) 654-8186

4320 W Vine St
Adventhealth Centra Care Kissimmee
Kissimmee, FL 34746-6313
Phone (407) 390-1888

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

4451 W 1St St
Adventhealth Centra Care Sanford
Sanford, FL 32771-9082
Phone (407) 330-3412

8201 W Irlo Bronson Hwy
Adventhealth Centra Care Orange Lake
Kissimmee, FL 34747-8202
Phone (407) 465-0846

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9113144FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
Adventist Health System/Sunbelt, Inc. Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
Urgent Care Centers of Brevard County LLC Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

12500 State Road 535
Orlando, FL 32836
Phone (407) 827-8164

Interoperability endpoints

  • Direct secure messaging: nbryan984903@adventhealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1477178747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 SENTRY PALM DR APT 113",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327030055",
            "telephone_number": "352-509-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 S APOPKA VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366723",
            "telephone_number": "407-934-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "NYKIA-GEORGE",
        "middle_name": "ANTHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2024-07-04",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9113144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.