Individual provider Active NPI

Darrell Wayne Fixler Jr., RRT, RCP, NRP

  • Critical Care Certified Respiratory Therapist
  • Statesboro, GA
National Provider Identifier
1811231012
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Certified Respiratory TherapistTaxonomy code 2278C0205X
License
2039 Issued in AL
Practice address
1499 Fair Rd
Statesboro, GA 30458-1683
Phone
(912) 486-1000
NPI assigned
Nov 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 146L00000X SC5042215 SC
Paramedic 146L00000X PMD531563 FL
Paramedic 146L00000X P028590 GA
Patient Transport Certified Respiratory Therapist 2278P4000X 009306 AZ
Critical Care Registered Respiratory Therapist 2279C0205X 009306 AZ
Critical Care Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278C0205X 2039 AL Primary

Addresses

Primary practice location

1499 Fair Rd
Statesboro, GA 30458-1683

Mailing address

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 486-1000

Other practice location 1

5479 Highway 280
Birmingham, AL 35242-2301
Phone (205) 637-3469

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

LicenseStateTypeSpecialty
PMD531563FLMDParamedic
P028590GAMDParamedic
SC5042215SCMDParamedic
009306AZMDPatient Transport Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1811231012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 FAIR RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581683",
            "telephone_number": "912-486-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 FAIR RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581683",
            "telephone_number": "912-486-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5479 Highway 280",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352422301",
            "country_code": "US",
            "telephone_number": "205-637-3469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIXLER",
        "first_name": "DARRELL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RRT, RCP, NRP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-12",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "SC",
            "license": "SC5042215",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "FL",
            "license": "PMD531563",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "GA",
            "license": "P028590",
            "primary": false
        },
        {
            "code": "2278P4000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Patient Transport",
            "state": "AZ",
            "license": "009306",
            "primary": false
        },
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "AZ",
            "license": "009306",
            "primary": false
        },
        {
            "code": "2278C0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Critical Care",
            "state": "AL",
            "license": "2039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.