Active NPI
Daybreak Emergency Physicians, LLC
- Emergency Medicine Physician
- Bremen, GA
National Provider Identifier
1134592918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- DAYBREAK EMERGENCY PHYSICIANS, LLC
- Practice address
- 200 Allen Memorial Dr
Bremen, GA 30110-2012 - Phone
- (469) 401-2386
- NPI assigned
- Nov 3, 2015
- 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
- Tenna Behm
- Title
- Officer
- Phone
- (469) 401-2386
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
200 Allen Memorial Dr
Bremen, GA 30110-2012
Mailing address
PO Box 80068
Philadelphia, PA 19101-0068
Phone (469) 401-2386
National Provider Directory
National Provider Directory- Tax ID family
- Daybreak Emergency Physicians LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emergency Medicine Physician
- Commerce, GA
- NPI 1316310196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447718400000",
"number": "1134592918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80068",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191010068",
"telephone_number": "469-401-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ALLEN MEMORIAL DR",
"city": "BREMEN",
"state": "GA",
"postal_code": "301102012",
"telephone_number": "469-401-2386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYBREAK EMERGENCY PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-03",
"last_updated": "2015-11-17",
"status": "A",
"authorized_official_last_name": "BEHM",
"authorized_official_first_name": "TENNA",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "469-401-2386"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bremen, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.