Lawrence Earl Bryant Jr., APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN229758 Issued in GA

Practice address

3580 Cameron Pkwy
Stockbridge, GA 30281-7816

Phone

(770) 996-6446

Fax

(770) 996-6279

NPI assigned

May 21, 2013

Sex

Male

Sole proprietor

No

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: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCDIAA

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.

• Southside Kidney Clinics, PC

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1659398600
  Medicare reassignment NPD

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1831535541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 CAMERON PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817816",
            "telephone_number": "770-996-6446",
            "fax_number": "770-996-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 CAMERON PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817816",
            "telephone_number": "770-996-6446",
            "fax_number": "770-996-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "LAWRENCE",
        "middle_name": "EARL",
        "name_suffix": "Jr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN229758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Matthew Brunner, PA-C
• Michael A Bruno, D.C.
• David Bryant, M.D.
• Jenni Lynn Bryant, PHARMD
• Joi Bryant, M.D.
• Marinna Kimel Bryant
• Myeisha Bryant
• Rachel Joyce Bryant, LP
• Buchanan Chiropractic Clinic PC
• Brian K Buchanan, DDS

• Adult Health Nurse Practitioner in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.