MRS. MARY BAILEY WICKHAM BRYAN (NPI# 1093265753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093265753 |
| Entity Type | Individual |
| Full Name | MRS. MARY BAILEY WICKHAM BRYAN |
| Credential | PA-C |
| Practice Address |
2300 Manchester Expy Ste 101a Columbus GA 31904 |
| Mailing Address |
112 N 12th St Unit 1208 Tampa FL 33602-3745 |
| Practice Telephone | 7063226646 |
| Mailing Telephone | 7065663556 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 008723 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA9109944 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2300 MANCHESTER EXPY STE 101A |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932336997 | Tamara N Huff | Orthopaedic Surgery | 2300 Manchester Expy Ste 101a, Columbus, GA 31904-6802 | 2009-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941603 | Ingrid Mompoint-butler | Physician Assistant | 1911 Oakland Park Ave, Columbus, OH 43224-3630 | 2020-10-27 |
| 1649886557 | Justin Knox | Physician Assistant | 7416 Roslindale Dr, Columbus, OH 43235-8904 | 2020-09-17 |
| 1336766310 | Mckenna Marie Wilson | Physician Assistant | 4752 Bentham Dr, Columbus, OH 43220-3204 | 2020-06-25 |
| 1881226744 | Adrian Gorzitze-maxey | Physician Assistant | 117 W Como Ave, Columbus, OH 43202-1027 | 2020-02-09 |
| 1699316604 | James Rodeman | Physician Assistant | 1351 Wyandotte Rd, Columbus, OH 43212-3248 | 2019-10-01 |
| 1740830017 | Rylie Taylor Ingham | Physician Assistant | 285 E State St Ste 600, Columbus, OH 43215-4329 | 2019-09-18 |
| 1487201976 | Columbus Surgical Assist, LLC | Physician Assistant | 605 N. High Street #234, Columbus, OH 43215-2024 | 2019-08-20 |
| 1699237743 | Stefan Khensouri | Physician Assistant | 3375 Paddington Dr, Columbus, IN 47203-4328 | 2019-04-05 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1760972426 | Simon Nke Acha | Physician Assistant | 285 E State St Ste 360, Columbus, OH 43215-4357 | 2018-05-17 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.