Active NPI
Living the Breamedical - Edenton, PLLC
- Urgent Care Clinic/Center
- Edenton, NC
National Provider Identifier
1518625607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.