Sharon M Bryan-Grant, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN158290 Issued in GA

Practice address

236 Arrowhead Blvd
Jonesboro, GA 30236-1106

Phone

(770) 478-9240

Fax

(770) 478-0318

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Sharon M Grant 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.

• Jonesboro Pediatrics

  • Pediatrics Physician
  • Jonesboro, GA
  • NPI 1225296155
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1659416691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 ARROWHEAD BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361106",
            "telephone_number": "770-478-9240",
            "fax_number": "770-478-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 ARROWHEAD BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361106",
            "telephone_number": "770-478-9240",
            "fax_number": "770-478-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN-GRANT",
        "first_name": "SHARON",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN158290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203042010C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203042010B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "GRANT",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "RN,CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harry Wayne Brown Sr., D.C.
• Harry Wayne Brown Jr., D.C.
• Michael Devon Brown, LMT
• Niama Janese Natara Brown, PHARM.D.
• Sonji Nichole Brown, LCSW
• Inez Bryant, CNA
• Jessiona Antrinese Bryant
• Larry Bryant
• Sharon B Bryant, LPC
• Jerelyn Buchanan

• Pediatric Nurse Practitioner in Jonesboro, GA
• Providers in Jonesboro, 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 Apr 27, 2015; 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.