MEDICARE: BRYSON SIMPSON FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	NP312496	GA

General Provider Information

NPI Number	:	1104792704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYSON SIMPSON FNP-C

Provider Business Mailing Address
First Line	:	172 FLETCHER ST
Second Line	:
City	:	MORVEN
State	:	GA
Zip	:	31638-2445
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3014 N PATTERSON ST
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31602-1711
Country	:	US
Telephone Number	:	229-262-6815
Fax Number	:	229-219-1790

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	12/09/2025

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Directions to “ BRYSON SIMPSON FNP-C” Practice Location

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