Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Bailey Wickham Bryan, PA-C

Individual provider Physician Assistant · NPI 1093265753

Mrs. Mary Bailey Wickham Bryan, PA-C is a Physician Assistant in Columbus, Georgia. Qualified in 2016, 10 years ago. Practices with St Francis Physician Practices LLC, a 210-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2300 Manchester Expy Ste A005
Columbus, GA 31904-6805
Phone: (706) 322-6646
Fax: (706) 322-2891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2300 Manchester Expy Ste 101a, Columbus, GA 31904-6802 — (706) 322-6646

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 008723 (GA)

Record details

NPI number1093265753
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 6, 2016
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Francis Physician Practices Llc — 210 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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