Individual provider Active NPI

Bryanna McKinnon, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1851134027
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
408256 Issued in NY
Practice address
1554 Union Rd
Gastonia, NC 28054-5581
Phone
(704) 869-2047
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5021181 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 408256 NY Primary
Registered Nurse 163W00000X RN293068 GA

Addresses

Primary practice location

1554 Union Rd
Gastonia, NC 28054-5581

Mailing address

207 W Millbrook Rd Ste 210
Raleigh, NC 27609-4490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250214000234 NC Practitioner - Psychiatry 1850821224 Reassigns benefits to 2 organizations
I20260608003671 NY Practitioner - Nurse Practitioner 1850821224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians

Practice addresses (Care Compare)

1 Elsie St
Rome, NY 13440-2556
Phone (337) 991-9276

2601 Iron Gate Dr
Suite 204
Wilmington, NC 28412-6624
Phone (910) 500-7072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN293068GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Shadows Telepsychiatry Services, PLLC Psychiatric/Mental Health CurrentSince Apr 18, 2025 Accepting new patients
Best Day Psychiatry and Counseling, PC CurrentSince Jan 13, 2025 Accepting new patients
Best Day Psychiatry and Counseling, PC CurrentSince Jan 13, 2025 Accepting new patients
Bright Shadows Corporation Registered Nurse PastSince Sep 8, 2025 Accepting new patients
Patterson Psych Group, PLLC Past Accepting new patients

Locations

2587 Ravenhill Dr
Fayetteville, NC 28303
Phone (910) 323-1545

4 Gates Bank Rd
Gates, NC 27937
Phone (252) 357-8272

2601 Iron Gate Dr
Ste 204
Wilmington, NC 28412
Phone (910) 500-7072

615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125

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.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1851134027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W MILLBROOK RD STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 UNION RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545581",
            "telephone_number": "704-869-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "BRYANNA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5021181",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "408256",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN293068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.