MRS. MARY BAILEY WICKHAM BRYAN (PA-C) – Physician Assistant, NPI 1093265753
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MRS. MARY BAILEY WICKHAM BRYAN (PA-C)
2300 MANCHESTER EXPY STE 2001A
COLUMBUS, GA 319046802
Phone: (706) 320-3126
Fax: (706) 320-3054
Type: Mailing
2300 MANCHESTER EXPY STE A005
COLUMBUS, GA 319046805
Phone: (706) 322-6646
Fax: (706) 322-2891
Type: Location
112 N 12TH ST UNIT 1208
TAMPA, FL 336023745
Phone: (706) 566-3556
Type: Mailing
2300 Manchester Expy Ste 101A
Columbus, GA 319046802
Phone: (706) 322-6646
Type: Location
Manchester Expressway, Lakeshore, Crystal Valley, Columbus, Muscogee County, Georgia, 31909, United States
COLUMBUS, GA 31904
Phone: (706) 322-6646
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $114.
Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Endo Pharmaceuticals Inc. ($63).
Total Amount
$114
General + Research + Ownership
Payments
6
Total payment records
General Amount
$114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Endo Pharmaceuticals Inc. | $63 |
| Bioventus LLC | $20 |
| VERTEX PHARMACEUTICALS INCORPORATED | $18 |
| Smith+Nephew, Inc. | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-06-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180620003362 | I | Physician Assistant | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 18 | $0 |
Insurance plans in this area (ZIP 31904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | GA | |
| P S Y C H I A T R Y | GA | |
| - | WI | |
| Physician Assistant | GA | |
| Diagnostic Radiology | NY | |
| N E U R O L O G Y | GA | |
| - | GA | |
| P S Y C H I A T R Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | GA |
Reviews
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