Active NPI
Breast R US
- Diagnostic Ultrasound Physician
- Macon, GA
National Provider Identifier
1053202234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Haynes
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236 | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Ultrasound Physician
- Macon, GA
- NPI 1922893171
-
- Diagnostic Radiology Physician
- Beverly Hills, CA
- NPI 1558312579
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.