Active NPI
Living the Breamedical - Stokesdale, PLLC
- Urgent Care Clinic/Center
- Stokesdale, NC
National Provider Identifier
1659030336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- LIVING THE BREAMEDICAL - STOKESDALE, PLLC
- Practice address
- 8422 US Hwy 158
Stokesdale, NC 27357 - Phone
- (252) 702-0267
- NPI assigned
- Dec 10, 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
- (252) 702-0267
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
8422 US Hwy 158
Stokesdale, NC 27357
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": "1639094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645488000000",
"number": "1659030336",
"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": "8422 US HWY 158",
"city": "STOKESDALE",
"state": "NC",
"postal_code": "27357",
"telephone_number": "252-702-0267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING THE BREAMEDICAL - STOKESDALE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-10",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"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": "252-702-0267"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stokesdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.