Individual provider Active NPI

Kela S Bryant, NP-C

  • Primary Care Nurse Practitioner
  • Lagrange, GA
National Provider Identifier
1588104160
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN216749 Issued in GA
Practice address
303 Smith St
Lagrange, GA 30240-2745
Phone
(706) 882-8831
NPI assigned
Mar 2, 2017
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN216749 GA
Primary Care Nurse Practitioner 363LP2300X RN216749 GA Primary

Addresses

Primary practice location

303 Smith St
Lagrange, GA 30240-2745

Mailing address

303 Smith St
Lagrange, GA 30240-2745
Phone (706) 882-8831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190325001387 GA Practitioner - Nurse Practitioner 9436499753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Healthcare System IncGroup PAC ID 8628988276, 12 clinicians

Practice addresses (Care Compare)

1458 Benning Dr
Columbus, GA 31903-2200
Phone (706) 940-3601

1600 Fort Benning Rd
Columbus, GA 31903-2834
Phone (706) 689-1331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN216749GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Specialty Associates, LLC Single Specialty CurrentSince Sep 22, 2023 Accepting new patients
Valley Healthcare System Inc CurrentSince Sep 9, 2025 Accepting new patients
Valley Healthcare System CurrentSince Sep 9, 2025 Accepting new patients
Valley Healthcare System Inc Single Specialty Current Accepting new patients
Evergreen Medical Group, Inc. Past Accepting new patients
Glenn E. Fussell Single Specialty PastSince Jan 28, 2019 Accepting new patients

Locations

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1600 Fort Benning Rd
Columbus, GA 31903
Phone (706) 322-9599

303 Smith St
Lagrange, GA 30240
Phone (706) 812-4238

Interoperability endpoints

  • Direct secure messaging: kela.bryant.1@14940.direct.athenahealth.com
  • Direct secure messaging: kela.bryant@vhs.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1588104160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SMITH ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402745",
            "telephone_number": "706-882-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SMITH ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402745",
            "telephone_number": "706-882-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "KELA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216749",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN216749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

Verify at the official NPI Registry.