Individual provider Active NPI

Angela L. Bright, N.P.

  • Nurse Practitioner
  • Conyers, GA
National Provider Identifier
1700908688
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN126657NP Issued in GA
Practice address
1680 Highway 138 SE
Conyers, GA 30013-1281
Phone
(770) 760-0066
Fax
(615) 778-9114
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN126657NP GA Primary

Addresses

Primary practice location

1680 Highway 138 SE
Conyers, GA 30013-1281

Mailing address

5080 Spectrum Dr
Suite 1200 West
Addison, TX 75001-4648
Phone (972) 364-8000

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
I20090629000100 GA Practitioner - Nurse Practitioner 7113078353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Urgent Care PCGroup PAC ID 9032590526, 2 clinicians
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1600 Kennesaw Due W Rd NW
Suite 205
Kennesaw, GA 30152-4303
Phone (470) 632-4900

3580 Atlanta Ave
Hapeville, GA 30354-1706
Phone (404) 768-3351

688 Spring St NW
Atlanta, GA 30308-1934
Phone (404) 881-1155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN126657NPGAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Jul 18, 2010 Accepting new patients
Dynamic Urgent Care PC CurrentSince Jan 16, 2023 Accepting new patients
Pedpost Foundation Inc CurrentSince Jan 16, 2023 Accepting new patients
American Current Care PA CurrentSince Jul 18, 2010 Accepting new patients
Occupational Health Centers of Georgia PC PastSince Nov 20, 2022 Accepting new patients
Occupational Health Centers of Georgia Past Accepting new patients

Locations

688 Spring St NW
Atlanta, GA 30308
Phone (404) 881-1155

1157 West Ave SW
#B
Conyers, GA 30012
Phone (770) 922-2120

3580 Atlanta Ave
Hapeville, GA 30354
Phone (404) 768-3351

1600 Kennesaw Due West Rd NW
Ste 205
Kennesaw, GA 30152
Phone (470) 222-0375

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1700908688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "SUITE 1200 WEST",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648",
            "telephone_number": "972-364-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 HIGHWAY 138 SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131281",
            "telephone_number": "770-760-0066",
            "fax_number": "615-778-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "ANGELA",
        "middle_name": "L.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN126657NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.