Pure E.a.G.L.E

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

PURE E.A.G.L.E

Practice address

244 Johnson Rd
Ridgeland, SC 29936-3710

Phone

(843) 368-0735

Fax

(843) 368-0735

NPI assigned

Aug 6, 2026

Last updated

Aug 6, 2026By 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

Ebony Youmans

Title

Owner

Phone

(843) 368-0735

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1760306278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 JOHNSON RD",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299363710",
            "telephone_number": "843-368-0735",
            "fax_number": "843-368-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 JOHNSON RD",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299363710",
            "telephone_number": "843-368-0735",
            "fax_number": "843-368-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE E.A.G.L.E",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "YOUMANS",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-368-0735"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetist in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Prosthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.