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Deactivated NPI 1255488789 Deactivated / Inactive NPI Male Practitioner

Charles W Bryant , NP

Nurse Practitioner • Moultrie, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charles Bryant has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 05, 2007
NPI Deactivation Date January 21, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Charles Bryant, NP was a registered Nurse Practitioner practicing in Moultrie, GA. Throughout an active medical career spanning 13 years, Charles Bryant provided care at the practice location at 1 SWEET BAY CT until profile deactivation on 2020-01-21.

Historical Medicare Part B clinical services included subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1 Sweet Bay Ct
Suite B

Moultrie, GA 317686756

Telephone 2298905305
Associated Practice Facility / Clinic
🏢 Moultrie Pediatrics, Llc Facility NPI 1679766299

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Moultrie, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Moultrie, GA (3149 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
120 18 $167.00 $55.22

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN128293

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Julie Posey , NP-C

Nurse Practitioner - Adult Health

NPI 1316362973

Nurse Practitioner (Certified)

Benjamin Mcleod , NP

Nurse Practitioner - Family

NPI 1417405176

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 21, 2020

Record deactivated on January 21, 2020

NPI Profile Active October 22, 2013

NPI status registered as active in NPPES database

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Updated Practice Location October 22, 2013

Registered at 1 SWEET BAY CT, SUITE B, MOULTRIE, GA 317686756 (Tel: 2298905305)

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Updated Business Mailing Address October 22, 2013

Registered at 1 SWEET BAY CT, SUITE B, MOULTRIE, GA 317686756 (Tel: 2298905305)

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Provider Name / Credentials Updated October 22, 2013

Recorded as CHARLES BRYANT, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2013

Nurse Practitioner (License #RN128293 in GA)

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Initial NPI Registration & Enumeration January 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255488789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2007
Last Update: October 22, 2013
Deactivation Date: January 21, 2020

Mailing Address

1 Sweet Bay Ct, Suite B

Moultrie, GA 317686756

Phone: 2298905305

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.