Individual provider Active NPI

Bryan Kelly Jaye, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Gordon, GA
National Provider Identifier
1750707337
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN275511 Issued in GA
Practice address
300 W Hospital Rd
Fort Gordon, GA 30905
Phone
(256) 655-1299
NPI assigned
Mar 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-107000 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN275511 GA Primary

Addresses

Primary practice location

300 W Hospital Rd
Fort Gordon, GA 30905

Mailing address

300 W Hospital Rd
Fort Gordon, GA 30905

Other identifiers 1

IdentifierTypeStateIssuer
RN275511OtherGACRNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WV, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230404002552 GA Practitioner - Nurse Practitioner 9436374329 Reassigns benefits to 1 organization
I20230907003657 WV Practitioner - Nurse Practitioner 9436374329 Reassigns benefits to 3 organizations
I20231206003895 NJ Practitioner - Nurse Practitioner 9436374329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forefront Telecare Medical Services PC 13 clinicians

Practice addresses (Care Compare)

122 12TH St Ext
Princeton, WV 24740-2352
Phone (972) 449-0540

128 Capitol St
Charleston, WV 25301-2610
Phone (866) 959-2008

1333 Southview Dr
Bluefield, WV 24701-4317
Phone (972) 449-0540

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-107000ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince Mar 3, 2025 Accepting new patients
Forefront-Rosenzweig Behavioral Health Medical Services PC CurrentSince Nov 1, 2023 Accepting new patients
Forefront Telecare Medical Services PC CurrentSince Aug 24, 2023 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jan 6, 2024 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Jan 6, 2024 Accepting new patients
Tele-Physicians, P.C. Past Accepting new patients

Locations

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

1333 Southview Dr
Bluefield, WV 24701
Phone (304) 327-2900

128 Capitol St
Charleston, WV 25301
Phone (276) 979-5390

Interoperability endpoints

  • Direct secure messaging: bryan.jaye.1@24287.direct.athenahealth.com

Organizations & group practices 7

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": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1750707337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL RD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL RD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "256-655-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYE",
        "first_name": "BRYAN",
        "middle_name": "KELLY",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-06",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-107000",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN275511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP",
            "identifier": "RN275511",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gordon, GA

Sources for this page

Verify at the official NPI Registry.