Active NPI
Joseph Durant, LMT, BA
- Specialist
- Brunswick, GA
National Provider Identifier
1376960179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT003512
- Practice address
- 1111 Glynco Pkwy
Ste. 400
Brunswick, GA 31525-7921 - Phone
- (912) 269-4534
- NPI assigned
- Mar 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MT003512 | GA | Primary |
Addresses
Primary practice location
1111 Glynco Pkwy
Ste. 400
Brunswick, GA 31525-7921
Mailing address
107 Mackay Cir
Brunswick, GA 31525-4525
Phone (912) 269-4534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT003512 | GA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1376960179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 MACKAY CIR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315254525",
"telephone_number": "912-269-4534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 GLYNCO PKWY",
"address_2": "STE. 400",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315257921",
"telephone_number": "912-269-4534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURANT",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "LMT, BA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "MT003512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.