Tammara Bryan, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003709 Issued in GA

Practice address

511 Mauldin Dr
Evans, GA 30809-5510

Phone

(706) 830-3620

NPI assigned

Jan 7, 2016

Sex

Female

Sole proprietor

Yes

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 Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurobehavioral Associates LLCGroup PAC ID 2769627660, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Neurobehavioral Associates, LLC

  • Clinical Psychologist
  • Augusta, GA
  • NPI 1386059251
  Medicare reassignment Care Compare group NPD
• New Mercy Behavioral Health LLC

  • Clinical Social Worker
  • Jackson, MS
  • NPI 1114480753
  NPD

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1821454810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MAULDIN DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095510",
            "telephone_number": "706-830-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MAULDIN DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095510",
            "telephone_number": "706-830-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "TAMMARA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Brown, D.O.
• Janese Adellis Brown, LCSW
• Nicholas Brown, LCSW
• Ryan-Ashley Bargeron Brown
• Sherry Brown, OT
• Alishia Bryden
• Claud Fru Bugheni, MD
• Christina M Bullock, M.ED, LPC, NCC
• Michelle Oliphant Burns, LPC
• Bonnie Sue Butler

• Clinical Psychologist in Evans, GA
• Providers in Evans, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.