Organization Active NPI

Ride Away Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Macon, GA
National Provider Identifier
1013320670
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
2507047 Issued in GA
Legal business name
RIDE AWAY TRANSPORTATION LLC
Practice address
860 North Ave
Macon, GA 31211-1811
Phone
(478) 297-6022
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Mrs. Anessia Samuel
Title
Administrator/Manager
Phone
(478) 297-6022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 2507047 GA Primary

Addresses

Primary practice location

860 North Ave
Macon, GA 31211-1811

Mailing address

860 North Ave
Macon, GA 31211-1811
Phone (478) 297-6022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1013320670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 NORTH AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111811",
            "telephone_number": "478-297-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 NORTH AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111811",
            "telephone_number": "478-297-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDE AWAY TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "ANESSIA",
        "authorized_official_title_or_position": "ADMINISTRATOR/MANAGER",
        "authorized_official_telephone_number": "478-297-6022",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "2507047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.