GEOFFREY BRYANT MD
NPI 1629656566
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since March 31, 2021PECOS Enrolled
2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Geoffrey Bryant Md NPPES

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

GEOFFREY BRYANT MD (NPI 1629656566) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629656566
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGEOFFREY BRYANTCredential: MD
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address550 Woods RdWestbury, NY 11590-1229 · (917) 628-4845
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
✔ NPI 1629656566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2500 N STATE ST, Jackson, MS 39216

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Geoffrey Bryant Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638684541
PECOS Enrollment IDI20260811003886
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Geoffrey Bryant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
57 HAMPTON RD, SUITE 201
Southampton, NY 11968
  • Reassigned Medicare billing, New York enrollment
  • 134 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

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 Geoffrey Bryant's NPI number?

The NPI number for Geoffrey Bryant is 1629656566. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Geoffrey Bryant located?

Geoffrey Bryant practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.

What is Geoffrey Bryant's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Geoffrey Bryant enrolled in Medicare?

Yes. Geoffrey Bryant is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Geoffrey Bryant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Geoffrey Bryant reassigns Medicare benefits to Meeting House Lane Medical Practice PC (Southampton, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Geoffrey Bryant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Geoffrey Bryant was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.