MR. BRYAN KELLY JAYE (NPI# 1750707337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750707337 |
| Entity Type | Individual |
| Full Name | MR. BRYAN KELLY JAYE |
| Credential | CRNP |
| Practice Address |
175 Emery Hwy Macon GA 31217-3692 |
| Mailing Address |
5750a Southland Dr Mobile AL 36693-3316 |
| Practice Telephone | 4788037600 |
| Practice Fax Number | 4788038596 |
| Mailing Telephone | 2514502211 |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN275511 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-107000 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CRNP | RN275511 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2400 Gordon Smith Dr, Mobile, AL 366172319 | 2514502211 | |
| 3575 Fulton Mill Rd, Macon, GA 312065125 | 4788038617 |
| Street Address |
175 EMERY HWY |
| City | MACON |
| State | GA |
| Zip Code | 31217-3692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174512966 | River Edge Behavioral Health Center | Community/Behavioral Health | 175 Emery Hwy, Macon, GA 31217-3692 | 2005-10-14 |
| 1174139281 | Joy Anne Safo | Nurse Practitioner | 175 Emery Hwy, Macon, GA 31217-3692 | 2020-09-23 |
| 1932611316 | Brenda Cartwright | Registered Nurse | 175 Emery Hwy, Macon, GA 31217-3692 | 2017-10-25 |
| 1306364203 | Jennifer Bramblett | Counselor | 175 Emery Hwy, Macon, GA 31217-3692 | 2017-08-31 |
| 1396195301 | Salena Barnes | Registered Nurse | 175 Emery Hwy, Macon, GA 31217-3692 | 2016-06-21 |
| 1598126278 | Carol Ashley Allen | Social Worker | 175 Emery Hwy, Macon, GA 31217-3692 | 2016-03-09 |
| 1619368255 | Shinerika Reaves | Counselor | 175 Emery Hwy, Macon, GA 31217-3692 | 2015-02-17 |
| 1669878195 | Shari Berndt | Social Worker | 175 Emery Hwy, Macon, GA 31217-3692 | 2014-11-11 |
| 1205248119 | Sheree Telfair | Counselor | 175 Emery Hwy, Macon, GA 31217-3692 | 2014-05-27 |
| 1457763351 | Minnie Dilbeck | Counselor | 175 Emery Hwy, Macon, GA 31217-3692 | 2014-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| Find all providers in zip 31217 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346749926 | Hayley Edmonston | Nurse Practitioner | 2994 Woodhaven Cir, Macon, GA 31204-1241 | 2018-02-08 |
| 1740683309 | Psychiatric Np Services | Nurse Practitioner | 5228 Brandywine Dr, Macon, GA 31210-2902 | 2014-09-26 |
| 1356755128 | Kenyotter Whipple | Nurse Practitioner | 1400 Gray Hwy Apt 808, Macon, GA 31211-1931 | 2014-06-19 |
| 1174139281 | Joy Anne Safo | Nurse Practitioner | 175 Emery Hwy, Macon, GA 31217-3692 | 2020-09-23 |
| 1326419201 | Brenda Griffin | Nurse Practitioner | 340 Hospital Dr, Suite 370, Macon, GA 31217-3838 | 2015-10-16 |
| 1891771010 | Corrie Willis | Nurse Practitioner | 303 Weller St, Macon, MO 63552-1942 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740398 | Audline Maria Hodnett | Nurse Practitioner | 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 | 2020-11-05 |
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1356958060 | Earl Delk | Nurse Practitioner | 3365 Ridgerock Way, Snellville, GA 30078-4176 | 2020-09-26 |
| 1609482991 | Tammy Haskins Bailey | Nurse Practitioner | 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 | 2020-09-22 |
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1376156364 | Katrina Ransom Clark | Nurse Practitioner | 120 Walker Dr Nw, Milledgeville, GA 31061-9561 | 2020-08-28 |
| 1457963746 | Evelyn Ahiante Dennis | Nurse Practitioner | 3325 Emden Ct, Snellville, GA 30039-6047 | 2020-08-19 |
| 1194335620 | Jennifer Logan | Nurse Practitioner | 424 Scotts Way, Augusta, GA 30909-3135 | 2020-08-10 |
| 1750991592 | Jamie Rae Mccracken | Nurse Practitioner | 2538 Gordon Cir Se, Smyrna, GA 30080-8123 | 2020-08-06 |
| 1285244608 | Amcare Substance Abuse and Addiction Counseling | Nurse Practitioner | 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 | 2020-08-01 |
| Find all providers with the same taxonomy | ||||
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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.