Organization Active NPI

Breast R US

  • Diagnostic Ultrasound Physician
  • Macon, GA
National Provider Identifier
1053202234
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
BREAST R US
Practice address
125 Plantation Centre Dr S
Macon, GA 31210-2079
Phone
(478) 258-3431
Fax
(800) 650-8797
NPI assigned
Jul 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan HaynesNPI 1699666784
Title
Ultrasound Tech
Phone
(478) 258-3431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

125 Plantation Centre Dr S
Macon, GA 31210-2079

Mailing address

125 Plantation Centre Dr S
Macon, GA 31210-2079
Phone (478) 258-3431

Other identifiers 1

IdentifierTypeStateIssuer
236MedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1053202234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PLANTATION CENTRE DR S",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102079",
            "telephone_number": "478-258-3431",
            "fax_number": "800-650-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PLANTATION CENTRE DR S",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102079",
            "telephone_number": "478-258-3431",
            "fax_number": "800-650-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST R US",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ULTRASOUND TECH",
        "authorized_official_telephone_number": "478-258-3431"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.