Organization Active NPI

E Z Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Stone Mountain, GA
National Provider Identifier
1023522844
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
E Z TRANSPORTATION LLC
Practice address
900 N Hairston Rd Ste a-3
Stone Mountain, GA 30083-2857
Phone
(470) 240-5928
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Shawn MooreNPI 1750800058
Title
Owner
Phone
(770) 866-2169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

900 N Hairston Rd Ste a-3
Stone Mountain, GA 30083-2857

Mailing address

1921 Brook View Ave
Doraville, GA 30340-3850

Other names 1

  • E Z Transport EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180606003470 GA Part B Supplier - Ambulance Service Supplier 6406111715 Practice locations: Stone Mountain, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2297691E Z Transport EMS900 North Hairston Road, Suite a 3, Stone Mountain, GA 30083Certificate of waiverJan 18, 2028

National Provider Directory

National Provider Directory

Locations

900 N Hairston Rd
Ste A-3
Stone Mtn, GA 30083
Phone (470) 240-5928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1023522844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 BROOK VIEW AVE",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303403850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N HAIRSTON RD STE A-3",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832857",
            "telephone_number": "470-240-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E Z TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-866-2169"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E Z Transport EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.