Betty W Bryant

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW009782 Issued in GA

Practice address

80 Huxford St
Homerville, GA 31634-2356

Phone

(912) 470-2273

Fax

(912) 470-2630

NPI assigned

Sep 25, 2025

Last updated

Sep 25, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clinch County Hospital Authority

  • Critical Access Hospital
  • Homerville, GA
  • NPI 1861478851
  Medicare reassignment NPD
• Clinch County Hospital Authority

  dba Clinch Memorial Family Practice

  • Primary Care Clinic/Center
  • Homerville, GA
  • NPI 1154895969
  NPD

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1730052812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 VALDOSTA HWY",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316349701",
            "telephone_number": "912-487-5211",
            "fax_number": "912-487-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUXFORD ST",
            "city": "HOMERVILLE",
            "state": "GA",
            "postal_code": "316342356",
            "telephone_number": "912-470-2273",
            "fax_number": "912-470-2630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Valdosta Hwy",
            "address_purpose": "LOCATION",
            "city": "Homerville",
            "state": "GA",
            "postal_code": "316349701",
            "country_code": "US",
            "telephone_number": "912-487-5211",
            "fax_number": "912-487-4334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 GA Highway 94",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "GA",
            "postal_code": "31631",
            "country_code": "US",
            "telephone_number": "912-637-5170",
            "fax_number": "912-637-5171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "BETTY",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW009782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Dorsey
• Balaji Medical Practice, LLC Dba Clinch Medical Practice
• Benjamin F. Tanner II DMD PC
• Kimberly Davis Bennett, NP-C
• Heather Marie Blackburn, PA-C
• Centerwell Health Services USA LLC (CenterWell Home Health)
• CL SNF LLC (River Brook Healthcare Center)
• Betsy Daugharty Clifton, FNP-C
• Clinch County Board of Education
• Clinch County Board of Health

• Clinical Social Worker in Homerville, GA
• Providers in Homerville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.