Organization Active NPI

Living the Breamedical - Stokesdale, PLLC

  • Urgent Care Clinic/Center
  • Stokesdale, NC
National Provider Identifier
1659030336
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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

Updated by the provider on Feb 22, 2022

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.