Phyllis Michelle Bryant, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN236861 Issued in GA

Practice address

227 Slicky Rock CT
Riverdale, GA 30274-3168

Phone

(678) 516-4137

NPI assigned

Apr 6, 2021

Last updated

Apr 6, 2021By 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

Registered Nurse

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.

• RN Drip, LLC

  • Registered Nurse
  • Fayetteville, GA
  • NPI 1821678830
  NPD Authorized official

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1538748561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SLICKY ROCK CT",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302743168",
            "telephone_number": "678-516-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 SLICKY ROCK CT",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302743168",
            "telephone_number": "678-516-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "PHYLLIS",
        "middle_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "236861",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN236861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamika Danielle Brown
• Timothy Bonitto Brown, M.D.
• Vickie H Browne, APRN
• Marion Bruno-Gaston
• Sara Lind Bryan, PTA
• Tawana Bryant
• Maisha Andrell Burnett, CACII
• Amber Thomas Burns, PT, DPT
• C&C Express Urgent Care LLC
• Caedel Medical Group

• Registered Nurse in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.