Active NPI
Bryon McQuirt
- Forensic Psychiatry Physician
- Senoia, GA
National Provider Identifier
1760616858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- 70170
- Practice address
- 48 Main St Ste 2a
Senoia, GA 30276-1895 - Phone
- (770) 400-9660
- NPI assigned
- May 5, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 70170 | GA | Primary |
Addresses
Primary practice location
48 Main St Ste 2a
Senoia, GA 30276-1895
Mailing address
1542 Tulane Ave
New Orleans, LA 70112-2865
Phone (504) 568-7912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 7, 2021 through Jan 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70170 | GA | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Current | Accepting new patients | |
| Southern Psychiatric Professionals, LLC | Past | Accepting new patients | |
| Peachtree Recovery Solutions | Past | Accepting new patients |
Interoperability endpoints
- bryonmcquirt@tdh.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Norcross, GA
- NPI 1063092294
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Senoia, GA
- NPI 1295246635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1760616858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1542 TULANE AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122865",
"telephone_number": "504-568-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 MAIN ST STE 2A",
"city": "SENOIA",
"state": "GA",
"postal_code": "302761895",
"telephone_number": "770-400-9660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUIRT",
"first_name": "BRYON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-05",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "GA",
"license": "70170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Senoia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.