Susan W Bryant, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN066856 Issued in GA

Practice address

310 Bryan St W
Douglas, GA 31533-4730

Phone

(912) 389-4586

Fax

(913) 389-4590

NPI assigned

Jul 6, 2006

Last updated

Jun 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coffee County Board of HealthGroup PAC ID 7416944087, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coffee County Board of Health

  • Public Health or Welfare Agency
  • Douglas, GA
  • NPI 1952346074
  Medicare reassignment Care Compare group NPD
• Bulloch County Board of Health

  dba Bulloch Wellness Center

  • Public Health or Welfare Agency
  • Statesboro, GA
  • NPI 1043243876
  Medicare reassignment NPD
• Toombs County Wellness Center

  • Public Health or Welfare Agency
  • Lyons, GA
  • NPI 1831112879
  Medicare reassignment NPD
• Ware County Board of Health

  • Public Health or Welfare Agency
  • Waycross, GA
  • NPI 1568491785
  Medicare reassignment NPD
• Bulloch County Board of Health

  • Public Health or Welfare Agency
  • Statesboro, GA
  • NPI 1417985060
  NPD
• Coffee County Board of Health

  dba Coffee Wellness Center

  • Public Health or Welfare Agency
  • Douglas, GA
  • NPI 1316976699
  NPD
• Toombs County Board of Health

  • Public Health or Welfare Agency
  • Lyons, GA
  • NPI 1558390757
  NPD
• Candler County Board of Health

  • Public Health or Welfare Agency
  • Metter, GA
  • NPI 1649208216
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1962433755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BRYAN ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315334730",
            "telephone_number": "912-389-4586",
            "fax_number": "913-389-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BRYAN ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315334730",
            "telephone_number": "912-389-4586",
            "fax_number": "913-389-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "SUSAN",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN066856",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN066856",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000857645A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000857645B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Brown, PHARMACIST
• Mary Katherine Kemp Brown, CCC-SLP
• Matthew Jeremiah Brown, PHARMD
• Amanda Brulte, APRN
• Mark Thomas Brulte, MD
• Jayla Snipes Bullock, SLP
• Kristin Margie Burnam, FNP-C
• Isadora Burnham, LMFT
• Ashli Nicole Bussey
• Wandle Keith Butler, PAC

• Nurse Practitioner in Douglas, GA
• Providers in Douglas, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.