Day Break Medical Resource Group

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN059308 Issued in GA

Legal business name

DAY BREAK MEDICAL RESOURCE GROUP

Practice address

4349 White Pine CT
Augusta, GA 30906-8122

Phone

(706) 267-5931

NPI assigned

Jun 16, 2009

Last updated

Jun 16, 2009By 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

Althea Davis Brown

Title

Ceo/Administrator

Phone

(706) 267-5931

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1922235076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4349 WHITE PINE CT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309068122",
            "telephone_number": "706-267-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4349 WHITE PINE CT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309068122",
            "telephone_number": "706-267-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAY BREAK MEDICAL RESOURCE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALTHEA",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "706-267-5931"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN059308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE UNKNOWN/ISSUED FOR US ARMY MEDICAL CENTER",
            "identifier": "1720251812",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn M. Jett, LCSW, LLC
• Alex Ciara Dawson, AU.D.
• Cynthia Dawson, RN
• Jasmine Keanna Dawson, OT
• Reilly Dawson
• Erin Day
• Katie Teresa Day, M.ED CCC-SLP
• Lillian Marie Day, MD
• Thomas E Day, D.D.S.
• DDJ1 LLC

• Licensed Practical Nurse in Augusta, GA
• Providers in Augusta, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.