Peach South Transit LLC

Primary specialty

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

Legal business name

PEACH SOUTH TRANSIT LLC

Practice address

2962 Harris Street # 220
Atlanta, GA 30344

Phone

(404) 990-3833

Fax

(678) 929-1899

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Erica Avery

Title

Operations Manager

Phone

(404) 488-3589

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1063118149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2962 HARRIS STREET # 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30344",
            "telephone_number": "404-990-3833",
            "fax_number": "678-929-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2962 HARRIS STREET # 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30344",
            "telephone_number": "404-990-3833",
            "fax_number": "678-929-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH SOUTH TRANSIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "404-488-3589"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peach State Learning Solutions Inc
• Peach State Medical Practice, PC
• Peach State Support Services LLC
• Colleen Wood Peach, N.P.

• Non-emergency Medical Transport (VAN) in Atlanta, GA
• Providers in Atlanta, 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 Feb 1, 2023; 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.