TAMMARA BRYAN (PH.D.) – Clinical Psychologist, NPI 1821454810

TAMMARA BRYAN (PH.D.) is a healthcare provider. based in Evans, Georgia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PSY003709 (GA). The NPI Number for TAMMARA BRYAN (PH.D.) is 1821454810

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
TAMMARA BRYAN (PH.D.)
NPI
1821454810
Phone
(706) 830-3620
Address
511 MAULDIN DR
Enumeration Date
7 January 2016
Last Update Date
7 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068235250
Graduation Year
2022 (4 years ago)
PAC ID
5294255428
Group Practice PAC ID
2769627660
Professional Enrollment ID
I20250219000126
Address ID
GA309072010AU207XXTRCE300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

486 CLINICAL PSYCHOLOGIST in GA

Provider Addresses for TAMMARA BRYAN (PH.D.)

  • 511 MAULDIN DR

    EVANS, GA 308095510

    Phone: (706) 830-3620

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-02-19

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250219000126IClinical PsychologistGATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30809)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769627660View full group profile
NameSpecialtyState
Mental Health CounselorTX
Qualified Speech Language PathologistNJ
Mental Health CounselorGA
-GA
P S Y C H I A T R YCA
Clinical PsychologistGA
Clinical Psychologist, PsychiatryCA
Clinical Social WorkerGA

Reviews

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Frequently asked questions

How is TAMMARA BRYAN (PH.D.) identified in CMS data?
CMS-hosted NPPES data lists TAMMARA BRYAN (PH.D.) with NPI 1821454810.
Is TAMMARA BRYAN (PH.D.) listed as active for patients and plans?
The listing shows TAMMARA BRYAN (PH.D.) as active in the NPI system.
What is TAMMARA BRYAN (PH.D.)'s specialty?
The listing groups TAMMARA BRYAN (PH.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What area does TAMMARA BRYAN (PH.D.) serve?
TAMMARA BRYAN (PH.D.)'s listing highlights Evans, Georgia; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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