Active NPI
Grant Talor Bright, PH.D.
- Professional Counselor
- Gainesville, GA
National Provider Identifier
1770099764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3167
- Practice address
- 2205 Old Hamilton PL Ste 400
Gainesville, GA 30507-8052 - Phone
- (678) 400-2260
- NPI assigned
- Dec 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3167 | GA | Primary |
Addresses
Primary practice location
2205 Old Hamilton PL Ste 400
Gainesville, GA 30507-8052
Mailing address
5031 Peach Mountain Cir
Gainesville, GA 30507-8884
Phone (678) 400-2188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3167 | GA | MD | Anesthesiologist Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1770099764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5031 PEACH MOUNTAIN CIR",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305078884",
"telephone_number": "678-400-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 OLD HAMILTON PL STE 400",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305078052",
"telephone_number": "678-400-2260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHT",
"first_name": "GRANT",
"middle_name": "TALOR",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-28",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "3167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.