Kelli A Bryant (NPI# 1912135427, PAC ID# 3870778459) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1912135427 |
| PAC ID by PECOS | 3870778459 |
| Professional Enrollment ID | I20110425000745 |
| Full Name | Kelli A Bryant |
| Organization Legal Name | UPSON FAMILY PHYSICIANS, LC |
| Address |
91 W Main St Butler GA 31006-5157 |
| Phone Number | 7703583284 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3072659242 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110002 | UPSON REGIONAL MEDICAL CENTER |
| 110031 | WELLSTAR SPALDING REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 91 W Main St, Butler, GA 31006-5157 | 7703583284 | UPSON FAMILY PHYSICIANS, LC |
| Organization Legal Name | UPSON FAMILY PHYSICIANS, LC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meagan M Fussell | Family Medicine | Upson Family Physicians, Lc | 915 W Gordon St, Suite B, Thomaston, GA 30286-3427 |
| Brandi J Swatts | Nurse Practitioner | Upson Family Physicians, Lc | 91 W Main St, Butler, GA 31006-5157 |
| Sean P Parker | Physician Assistant | Upson Family Physicians, Lc | 915 W Gordon St, Suite B, Thomaston, GA 30286-3427 |
| Corey Fussell | Family Medicine | Upson Family Physicians, Lc | 915 W Gordon St, Suite B, Thomaston, GA 30286-3427 |
| Donna M Haney | Family Medicine | Upson Family Physicians, Lc | 91 W Main St, Butler, GA 31006-5157 |
| Benjamin Paul Williams | Internal Medicine | Upson Family Physicians, Lc | 915 W Gordon St, Suite B, Thomaston, GA 30286-3427 |
| Patricia Hall | Family Medicine | Upson Family Physicians, Lc | 915 W Gordon St, Suite B, Thomaston, GA 30286-3427 |
| Christina Leigh H Noguera | Family Medicine | Upson Family Physicians, Lc | 915 W Gordon St, Suite B, Thomaston, GA 30286-3427 |
| Street Address |
91 W MAIN ST |
| City | BUTLER |
| State | GA |
| Zip | 31006-5157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandi J Swatts | Nurse Practitioner | Upson Family Physicians, Lc | 91 W Main St, Butler, GA 31006-5157 |
| Donna M Haney | Family Medicine | Upson Family Physicians, Lc | 91 W Main St, Butler, GA 31006-5157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William F Catrett | Family Medicine | 18 S Broad St, Butler, GA 31006-5520 |
| City | BUTLER |
| Zip Code | 31006 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BUTLER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kelli A Bryant.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.