NPIMap

Organization Active NPI

Amplifyed Holdings Corp

  • Non-emergency Medical Transport (VAN)
  • East Point, GA
National Provider Identifier
1093539686
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
AMPLIFYED HOLDINGS CORP
Practice address
2882 Church St
East Point, GA 30344-3254
Phone
(404) 692-8860
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Tacquora Lashae Mixon, CMA, CNANPI 1770306656
Title
Manager
Phone
(404) 998-6903

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Adult Care Home Facility 311ZA0620X
Secured Medical Transport (VAN) 343800000X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2882 Church St
East Point, GA 30344-3254

Mailing address

2882 Church St
East Point, GA 30344-3254
Phone (404) 692-8860

Other names 1

  • Amplifyed Health Doing business as

National Provider Directory

National Provider Directory

Locations

2882 Church St
East Point, GA 30344
Phone (404) 692-8860

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": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1093539686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2882 CHURCH ST",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443254",
            "telephone_number": "404-692-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2882 CHURCH ST",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443254",
            "telephone_number": "404-692-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPLIFYED HOLDINGS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "MIXON",
        "authorized_official_first_name": "TACQUORA",
        "authorized_official_middle_name": "LASHAE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-998-6903",
        "authorized_official_credential": "CMA, CNA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amplifyed Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.