MR. TIMOTHY A. BRYAN SR. PA
NPI 1689924839
Physician Assistant in Atlanta, GA

Q: What is Timothy Bryan's NPI number?

The NPI number for Timothy Bryan is 1689924839. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Q: What is Timothy Bryan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Bryan was last updated on April 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 14, 2012PECOS Enrolled

5665 NEW NORTHSIDE DR NW, SUITE 320, ATLANTA, GA 30328(770) 874-6844 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Timothy A. Bryan Sr. Pa NPPES

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

MR. TIMOTHY A. BRYAN SR. PA (NPI 1689924839) is an individual physician assistant in Atlanta, Georgia, licensed in Wisconsin (2994-23) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689924839

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. TIMOTHY A. BRYAN SR.Credential: PA

Location Address5665 NEW NORTHSIDE DR NW, SUITE 320Atlanta, GA 30328-5831

Mailing Address5665 New Northside Dr Nw, Suite 320Atlanta, GA 30328-5831 · (770) 874-6844

Phone(770) 874-6844

Sole ProprietorYes

Enumeration DateSeptember 14, 2012

Last NPPES UpdateApril 14, 2020

NPPES CertifiedApril 14, 2020

✔ NPI 1689924839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 2994-23

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5665 NEW NORTHSIDE DR NW, Atlanta, GA 30328

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Other Identifiers 1

Medicaid100043936WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Timothy A. Bryan Sr. Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.