Alicia Ray Bryant, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0913219 Issued in GA

Practice address

106 McCrary Ave
Roberta, GA 31078-4916

Phone

(478) 836-2819

Fax

(478) 836-2823

NPI assigned

Sep 25, 2013

Last updated

Sep 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Alicia Ray Former name

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.

• Primary Pediatrics, PC

  • Specialist
  • Macon, GA
  • NPI 1477638575
  NPD (past)

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1639505472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MCCRARY AVE",
            "city": "ROBERTA",
            "state": "GA",
            "postal_code": "310784916",
            "telephone_number": "478-836-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MCCRARY AVE",
            "city": "ROBERTA",
            "state": "GA",
            "postal_code": "310784916",
            "telephone_number": "478-836-2819",
            "fax_number": "478-836-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ALICIA",
        "middle_name": "RAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F0913219",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN175374",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "RAY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teresa Vanessa Aranda
• Brentwood Nursing LLC (Roberta Health Care Center)
• Careconnect Health, Inc. (CareConnect Family Practice)
• Jeremy Antoine Colbert, RN
• Crawford County Board of Education
• Crawford County Health Department
• Freddy N. Gaton (Crawford Family Medicine)

• Family Nurse Practitioner in Roberta, GA
• Providers in Roberta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.