Chantae Aletha Bryant, PMH-NP
Nurse Practitioner, Psych/Mental Health in Loganville, GA. Individual provider (NPI-1).
Details
- NPI
- 1164063814
- Entity type
- Individual (NPI-1)
- Name
- Chantae Aletha Bryant
- Credential
- PMH-NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2019
- Last updated
- Oct 3, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN227249 | GA | Yes |
Practice location
500 Plantation Park DrLoganville, GA 30052-4144
Phone 678-344-8268 · Fax 888-627-6444
Mailing address
500 Plantation Park DrLoganville, GA 30052-4144
Phone 678-344-8268 · Fax 888-627-6444
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 28 Psychiatric/Mental Health Nurse Practitioner providers in Loganville · All 962 providers in Loganville
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