Mary'S Non-Emergency Medical Transportation, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MARY'S NON-EMERGENCY MEDICAL TRANSPORTATION, LLC

Practice address

2529 Plymouth Way
Conyers, GA 30013-6399

Phone

(678) 902-6368

Fax

(404) 745-0007

NPI assigned

Dec 27, 2019

Organization subpart

No

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

Authorized official

Name

Katrina Gourdet

Title

Director

Phone

(678) 902-6368

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1023657897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 SALEM RD SE STE 106-169",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 PLYMOUTH WAY",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136399",
            "telephone_number": "678-902-6368",
            "fax_number": "404-745-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S NON-EMERGENCY MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "GOURDET",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-902-6368"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Savannah Marks, APRN, FNP-BC
• Yashanti K Marks, M.S., CCC-SLP
• Avantai Laureem Marlin, RBT
• Walter V Marshall
• Catherine Martin, CPNP-PC
• Anuj Masih, MPT
• Monica Leigh Masters, RPH
• Tiffany Mastin, REGISTERED NURSE
• Danyale Lakeyta Mathis
• Matters of the Heart Counseling Services, LLC

• Non-emergency Medical Transport (VAN) in Conyers, GA
• Providers in Conyers, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.