Organization Active NPI

Bright Impact Now Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Douglasville, GA
National Provider Identifier
1578397287
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BRIGHT IMPACT NOW PSYCHIATRY LLC
Practice address
3400 Chapel Hill Rd Ste 325
Douglasville, GA 30135-1739
Phone
(470) 613-1249
Fax
(470) 410-7199
NPI assigned
Aug 27, 2024
Organization subpart
Yes
Parent organization
BRIGHT IMPACT NOW PSYCHIATRY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Retta Sugarpea Bright, NPNPI 1174928667
Title
Psychiatric Nurse Practitioner
Phone
(678) 852-3203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3400 Chapel Hill Rd Ste 325
Douglasville, GA 30135-1739

Mailing address

3400 Chapel Hill Rd Ste 325
Douglasville, GA 30135-1739
Phone (678) 852-3203

Other practice location 1

2274 Leatherstone Dr.
Powder Springs, GA 30127
Phone (678) 852-3203

Other practice location 2

2274 Leatherstone Dr
Powder Springs, GA 30127-7034
Phone (678) 852-3203

Other practice location 3

2274 Leatherstone Dr
Powder Springs, GA 30127-7034
Phone (678) 852-3203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250106001762 GA Part B Supplier - Clinic/Group Practice 6406384395 Practice locations: Douglasville, GA

National Provider Directory

National Provider Directory
Part of
Bright Impact Now Psychiatry LLC

Locations

8333 Office Park Dr
Douglasville, GA 30134
Phone (404) 491-9916

3400 Chapel Hill Rd
Ste 325
Douglasville, GA 30135
Phone (470) 613-1249

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1578397287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CHAPEL HILL RD STE 325",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351739",
            "telephone_number": "678-852-3203",
            "fax_number": "470-410-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CHAPEL HILL RD STE 325",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351739",
            "telephone_number": "470-613-1249",
            "fax_number": "470-410-7199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2274 Leatherstone Dr.",
            "address_purpose": "LOCATION",
            "city": "Powder Springs",
            "state": "GA",
            "postal_code": "30127",
            "country_code": "US",
            "telephone_number": "678-852-3203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2274 Leatherstone Dr",
            "address_purpose": "LOCATION",
            "city": "Powder Springs",
            "state": "GA",
            "postal_code": "301277034",
            "country_code": "US",
            "telephone_number": "678-852-3203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2274 Leatherstone Dr",
            "address_purpose": "LOCATION",
            "city": "Powder Springs",
            "state": "GA",
            "postal_code": "301277034",
            "country_code": "US",
            "telephone_number": "678-852-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIGHT IMPACT NOW PSYCHIATRY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHT IMPACT NOW PSYCHIATRY LLC",
        "enumeration_date": "2024-08-27",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "BRIGHT",
        "authorized_official_first_name": "RETTA",
        "authorized_official_middle_name": "SUGARPEA",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "678-852-3203",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.