Organization Active NPI

Living the Breamedical - Edenton, PLLC

  • Urgent Care Clinic/Center
  • Edenton, NC
National Provider Identifier
1518625607
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
LIVING THE BREAMEDICAL - EDENTON, PLLC
Practice address
314 W Queen St
Edenton, NC 27932-1733
Phone
(252) 702-0267
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Jamie Martin Atkins
Title
Regional Manager
Phone
(336) 501-1095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

314 W Queen St
Edenton, NC 27932-1733

Mailing address

PO Box 808
Stokesdale, NC 27357-0808

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1518625607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 808",
            "city": "STOKESDALE",
            "state": "NC",
            "postal_code": "273570808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W QUEEN ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321733",
            "telephone_number": "252-702-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING THE BREAMEDICAL - EDENTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "336-501-1095"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edenton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.