Magnatel MD LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MAGNATEL MD LLC

Practice address

6030 Daybreak Cir Ste A150-183
Clarksville, MD 21029-1642

Phone

(844) 211-5235

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Eric Nixon

Title

Ceo

Phone

(844) 211-5235

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diamond McBride

  • Behavior Technician
  • Raleigh, NC
  • NPI 1124832928
  NPD
• Kathi A Earles, MD

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1770583650
  NPD (past)

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1619689817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 DAYBREAK CIR STE A150-183",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291642",
            "telephone_number": "844-211-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 DAYBREAK CIR STE A150-183",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291642",
            "telephone_number": "844-211-5235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Riverside Pkwy SW",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "30168",
            "country_code": "US",
            "telephone_number": "844-211-5235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7410 Hull Street Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232355834",
            "country_code": "US",
            "telephone_number": "844-211-5235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAGNATEL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-211-5235"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Live.Balanced.Life.LLC
• Garry Henderson Lovins, FNP
• Rigo Lupercio
• Mach Services
• Roselynne Angelina Mackay, MS, CNS, LDN
• Maggie Mannion
• Maryland CVS Pharmacy LLC
• Maryland Mobile Anesthesia Services Inc
• Maryland Sleep Doc Inc
• Maryland Spine and Sports Surgi-Center, L.L.C.

• Clinic/Center in Clarksville, MD
• Providers in Clarksville, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.