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PURE E.A.G.L.E
NPI 1760306278
Prosthetist in Ridgeland, SC

Active since August 06, 2026CLIA 42D2327828 · Waiver
244 JOHNSON RD, RIDGELAND, SC 29936(843) 368-0735(843) 368-0735 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pure E.a.g.l.e NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURE E.A.G.L.E (NPI 1760306278) is a healthcare organization registered as a prosthetist in Ridgeland, South Carolina and active in the NPI registry since August 2026. The organization holds a CLIA Waiver certificate valid through July 29, 2027 and lists Ebony Youmans, Owner, as its authorized official.

NPPES Registry Identity

NPI1760306278
Entity TypeOrganization
Primary Taxonomy224P00000X
Legal Business NamePURE E.A.G.L.E
Location Address244 JOHNSON RDRidgeland, SC 29936-3710
Mailing Address244 Johnson RdRidgeland, SC 29936-3710 · (843) 368-0735 · Fax (843) 368-0735
Phone(843) 368-0735
Fax(843) 368-0735
Organization SubpartNo
Authorized OfficialEbony YoumansOwner · (843) 368-0735
Enumeration DateAugust 6, 2026
NPPES CertifiedAugust 6, 2026
✔ NPI 1760306278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
244 JOHNSON RD, Ridgeland, SC 29936
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2327828

Pure E.A.G.L.E. LLC · Ridgeland, SC
Active · expires Jul 29, 2027
CLIA Number42D2327828
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorEbony Youmans
Laboratory Phone(843) 368-0735
Laboratory LocationPure E.A.G.L.E. LLC244 Johnson Rd, Ridgeland, SC 29936
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pure E.A.G.L.E's NPI number?

The NPI number for Pure E.A.G.L.E is 1760306278. It was assigned to this organization in the NPPES registry on August 6, 2026.

Where is Pure E.A.G.L.E located?

Pure E.A.G.L.E is located at 244 Johnson Rd, Ridgeland, SC 29936. The listed phone number is (843) 368-0735.

What is Pure E.A.G.L.E's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Does Pure E.A.G.L.E hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2327828) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pure E.A.G.L.E was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.