Katherine Butler Bryan, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN324990 Issued in GA

Practice address

125 Clairemont Ave Ste 190
Decatur, GA 30030-2585

Phone

(404) 748-9691

NPI assigned

Mar 24, 2022

Last updated

Nov 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Childfren's Medical Group, P.C.

  • Pediatric Adolescent Medicine Physician
  • Atlanta, GA
  • NPI 1497865935
  NPD (past)
• Edward M. Gotlieb, M.D., Et Al Dba the Pediatric Center

  dba The Pediatric Center

  • Pediatrics Physician
  • Stone Mountain, GA
  • NPI 1619197498
  NPD (past)

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1487304283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CLAIREMONT AVE STE 190",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302585",
            "telephone_number": "404-748-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CLAIREMONT AVE STE 190",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302585",
            "telephone_number": "404-748-9691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 Century Blvd NE Ste 150",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303453323",
            "country_code": "US",
            "telephone_number": "404-633-4595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6918 McGinnis Ferry Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300241258",
            "country_code": "US",
            "telephone_number": "770-622-5758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "KATHERINE",
        "middle_name": "BUTLER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN324990",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN324990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionne Brunson, O.T.
• Christine Alberi Bruso, LMSW
• Katherine Vivian Bruss, PSY.D.
• Anne-Marie Bruton, LPC
• Annie Bryan
• Avril L Bryant, PT
• Courtnee Bryant, COO
• Deidre Bryant, LCSW
• Donatello Bryant
• Felicia A Bryant, HOME HEALTH CARE

• Pediatric Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.