Active NPI
Donald Eugene Turner Jr., LMT
- Massage Therapist
- Brunswick, GA
National Provider Identifier
1710016506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA41715
- Practice address
- 4216 Coral Park Dr
Sutie 103
Brunswick, GA 31520-3016 - Phone
- (912) 297-8111
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA41715 | FL | |
| Massage Therapist | 225700000X | MA41715 | Primary |
Addresses
Primary practice location
4216 Coral Park Dr
Sutie 103
Brunswick, GA 31520-3016
Mailing address
5 Palm Row
Suite C
St. Augustine, FL 32084
Phone (904) 687-8734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA41715 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1710016506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PALM ROW",
"address_2": "SUITE C",
"city": "ST. AUGUSTINE",
"state": "FL",
"postal_code": "32084",
"telephone_number": "904-687-8734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4216 CORAL PARK DR",
"address_2": "SUTIE 103",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315203016",
"telephone_number": "912-297-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "DONALD",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA41715",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": "MA41715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.