LEROY BRYAN
NPI 1033745138
Counselor - Professional in Conyers, GA

Active since March 20, 2020
1175 GREEN ST SE, CONYERS, GA 30012(770) 929-1470 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leroy Bryan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEROY BRYAN (NPI 1033745138) is an individual professional provider in Conyers, Georgia and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1033745138
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameLEROY BRYAN
Location Address1175 GREEN ST SEConyers, GA 30012-5407
Mailing Address2945 Rosebud Rd Apt 521Loganville, GA 30052-8961 · (706) 528-8053
Sole ProprietorNo
Enumeration DateMarch 20, 2020
NPPES CertifiedMarch 20, 2020
NPI 1033745138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1175 GREEN ST SE, Conyers, GA 30012

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1175 GREEN ST SE
CONYERS, GA 30012
Peer Specialist
1175 GREEN ST SE
CONYERS, GA 30012
Registered Nurse
1175 GREEN ST SE
CONYERS, GA 30012
Licensed Practical Nurse
1175 GREEN ST SE
CONYERS, GA 30012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leroy Bryan's NPI number?

The NPI number for Leroy Bryan is 1033745138. It was assigned to this individual provider in the NPPES registry on March 20, 2020.

Where is Leroy Bryan located?

Leroy Bryan practices at 1175 Green St SE, Conyers, GA 30012. The listed phone number is (770) 929-1470.

What is Leroy Bryan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Leroy Bryan was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.