Phyllis Marie Bryant-Mobley, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20798 Issued in SC

Practice address

1735 Saint Julian PL Ste 102
Columbia, SC 29204-2402

Phone

(803) 497-9611

Fax

(803) 764-2003

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: phyllis.bryantmobley.p1@direct.scdc.nextgenshare.com

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.

• South Carolina Dept of Mental Health Accounting Office

  • Psychiatric Hospital
  • Anderson, SC
  • NPI 1376595041

  Psychiatry

  Medicare reassignment NPD
• South Carolina Dept of Mental Health Accounting Office

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD
• South Carolina Dept of Mental Health Accounting Office

  • Psychiatric Hospital
  • Columbia, SC
  • NPI 1609825264

  Psychiatry

  NPD
• South Carolina Dept of Mental Health Accounting Office

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sumter, SC
  • NPI 1245279595
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1902891294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 SAINT JULIAN PL STE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042402",
            "telephone_number": "803-497-9611",
            "fax_number": "803-764-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 SAINT JULIAN PL STE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042402",
            "telephone_number": "803-497-9611",
            "fax_number": "803-764-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 Sunset Blvd",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291695932",
            "country_code": "US",
            "telephone_number": "803-791-1485",
            "fax_number": "803-939-9378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7356 Garners Ferry Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292092146",
            "country_code": "US",
            "telephone_number": "803-570-2552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4344 Broad River Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29210",
            "country_code": "US",
            "telephone_number": "803-896-8597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT-MOBLEY",
        "first_name": "PHYLLIS",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "20798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207984",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Bryan, PHARM.D
• Beau Taylor Bryan, M.D.
• Charles Stone Bryan
• Thomas Clayton Bryan, PT
• Christie Mae Bryant-Benson, D.C.
• Tiffany Bryant-Woods, RN
• Edith Bryant
• Jessica Ebony Bryant
• Kathy Bryant, LMSW
• Kayla S Bryant, MSN, RN, CMGT-BC CCM

• Psychiatry Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.