Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy A. Bryan Sr., PA

Individual provider Physician Assistant · NPI 1689924839

Mr. Timothy A. Bryan Sr., PA is a Physician Assistant in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5665 New Northside Dr NW Ste 320
Atlanta, GA 30328-5831
Phone: (770) 874-6844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2994-23 (WI)

Record details

NPI number1689924839
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 14, 2012
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020
Mailing address5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831

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