WAYNE BRYAN (NPI# 1114345972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114345972 |
| Entity Type | Individual |
| Full Name | WAYNE BRYAN |
| Credential | M.D. |
| Practice Address |
1499 Fair Rd Fl 3 Statesboro GA 30458-1683 |
| Mailing Address |
1499 Fair Road Statesboro GA 30458-2744 |
| Practice Telephone | 9124861431 |
| Mailing Telephone | 9124861431 |
| Mailing Fax Number | 9128712261 |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2017-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 77972 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548246648 | Wayne Bryan | Physician Assistant | 600 Moye Blvd, Leo Jenkins Cancer Center, Greenville, NC 27834-4300 | 2005-12-20 |
| Street Address |
1499 FAIR RD FL 3 |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-1683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891130647 | Supreme Internal Medicine | Internal Medicine | 1207 Merchant Way, Suite 201, Statesboro, GA 30458-0861 | 2013-05-07 |
| 1790966588 | Joseph C Hand IIi Md PC | Internal Medicine | 1088 Bermuda Run # B, Statesboro, GA 30458-0858 | 2007-11-20 |
| 1235287004 | Brian A Moogerfeld | Internal Medicine | 1088a Bermuda Run, Statesboro, GA 30458-0858 | 2007-01-08 |
| 1992861603 | Ogechi Helen Mbakwe | Internal Medicine | 6 Lester Rd, Statesboro, GA 30458-4786 | 2006-12-28 |
| 1891861266 | Emory Powers Smith IIi | Internal Medicine | 658 Northside Drive East, Suite B, Statesboro, GA 30458 | 2006-11-28 |
| 1215013354 | Hamilton Osasere Emokpae | Internal Medicine | 1207 Merchant Way Ste 201b, Statesboro, GA 30458-0862 | 2006-10-31 |
| 1770698367 | Stephen Marion Jordan | Internal Medicine | 356 Northside Drive E, Statesboro, GA 30458 | 2006-08-21 |
| 1841218013 | Rani S. Reddy | Internal Medicine | 106 Briarwood Rd, Statesboro, GA 30458-2459 | 2006-07-17 |
| 1396794491 | Joseph C. Hand IIi, M.d. | Internal Medicine | 23 Lester Rd, Statesboro, GA 30458-4700 | 2006-05-08 |
| 1811971625 | Gregory Shawn Felzien | Internal Medicine | 3 West Altman Street, Statesboro, GA 30458-5212 | 2005-12-05 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
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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.