Active NPI
Bryan Kelly Jaye, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Fort Gordon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN275511
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN275511 | Other | GA | CRNP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WV, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-107000 | AL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Current | Accepting new patients | |
| Forefront-Rosenzweig Behavioral Health Medical Services PC | Current | Accepting new patients | |
| Forefront Telecare Medical Services PC | Current | Accepting new patients | |
| Princeton Community Hospital Assn., Inc | Current | Accepting new patients | |
| Princeton Community Hospital Assn Inc. | Current | 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
- 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.
-
- Psychiatry Physician
- Hamilton, NJ
- NPI 1902418007
NJ
-
- Rural Health Clinic/Center
- Bluefield, VA
- NPI 1235446485
-
- Neurology Physician
- Herndon, VA
- NPI 1730599846
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.