Kevin Bruce, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in McDonough, GA. Individual provider (NPI-1).
NPI number1255287553
StatusActive
Last updated in NPPESNov 10, 2026
Details
- NPI
- 1255287553
- Entity type
- Individual (NPI-1)
- Name
- Kevin Bruce
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2026
- Certification date
- Nov 10, 2026
- Last updated
- Nov 10, 2026
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 | APRN-NP295674 | GA | Yes |
Practice location
300 Warner RdMcDonough, GA 30253-7794
Phone 678-464-3403
Mailing address
300 Warner RdMcDonough, GA 30253-7794
Phone 678-464-3403
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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 22 Psychiatric/Mental Health Nurse Practitioner providers in McDonough · All 1,905 providers in McDonough
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