Mr Breath

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

005083 Issued in GA

Legal business name

MR BREATH

Practice address

105 Chandler Way
Saint Marys, GA 31558-2935

Phone

(912) 674-5780

NPI assigned

May 17, 2010

Last updated

May 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Edwin Black

Title

Partner

Phone

(912) 674-5780

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Misty Dawn Black, CRT

  • Certified Respiratory Therapist
  • Saint Marys, GA
  • NPI 1952628281
  NPD (past)

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1558680496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHANDLER WAY",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315582935",
            "telephone_number": "912-674-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHANDLER WAY",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315582935",
            "telephone_number": "912-674-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR BREATH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "912-674-5780",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "005083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Beecham Mixson, L.AC., DOM
• Robert David Mixson, M.D.
• Roxanne R Mody, M.D.
• Maurianne Montes, L.AC., M.AC.O.M.
• Cassidy Morales
• Kristen Anne Myers
• Richard Collier Neal
• Nebiker Chiropractic LLC (Tri County Chiropractic of St Marys)
• Jacob Matthew Nelson, IDHS
• Matthew Nesmith

• Durable Medical Equipment & Medical Supplies in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.