Active NPI
Alfred Antonio Ware, NEMT
- Driver
- Lagrange, GA
National Provider Identifier
1073273231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 055043348
- Practice address
- 107 Revere CT
Lagrange, GA 30241-1725 - Phone
- (706) 416-2888
- NPI assigned
- Dec 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 055043348 | GA | Primary |
Addresses
Primary practice location
107 Revere CT
Lagrange, GA 30241-1725
Mailing address
107 Revere CT
Lagrange, GA 30241-1725
Phone (706) 416-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055043348 | GA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1073273231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 REVERE CT",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302411725",
"telephone_number": "706-416-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 REVERE CT",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302411725",
"telephone_number": "706-416-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARE",
"first_name": "ALFRED",
"middle_name": "ANTONIO",
"credential": "NEMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-29",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "GA",
"license": "055043348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lagrange, GA
- Walgreen Co (Rite Aid #11769)
- Walgreen Co (Walgreens #09622)
- Lisa N. Wallace, LPTA
- Amanda Howington Ward, PHYSICIAN ASSISTANT
- Kevin R Ward, CRNP
- Amy Melissa Ware, PP
- Laqua'Sha Monique Warren, MSN, APRN, FNP-C
- John Paul Warrick Jr., DPM
- Ryer Bionca Warrior, BSN, RN
- Wayde Jennings Washburn, CAC II, NCAC I
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.