Active NPI
Caring Man in a Van
- Non-emergency Medical Transport (VAN)
- Watkinsville, GA
National Provider Identifier
1114242757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 2010-275
- Legal business name
- CARING MAN IN A VAN
- Practice address
- 1021 Industrial Blvd
Suite B
Watkinsville, GA 30677-2761 - Phone
- (706) 769-0075
- Fax
- (800) 849-1975
- NPI assigned
- Apr 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Scott Chamberlain
- Title
- President / Owner
- Phone
- (706) 769-0075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 2010-275 | GA | Primary |
Addresses
Primary practice location
1021 Industrial Blvd
Suite B
Watkinsville, GA 30677-2761
Mailing address
1021 Industrial Blvd.
Suite B
Watkinsville, GA 30677
Phone (706) 769-0075
National Provider Directory
National Provider DirectoryLocations
1021 Industrial Blvd
Ste B
Watkinsville, GA 30677
Phone (706) 769-0075
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Watkinsville, GA
- NPI 1316335342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412812800000",
"number": "1114242757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 INDUSTRIAL BLVD.",
"address_2": "SUITE B",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "30677",
"telephone_number": "706-769-0075",
"fax_number": "800-849-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 INDUSTRIAL BLVD",
"address_2": "SUITE B",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306772761",
"telephone_number": "706-769-0075",
"fax_number": "800-849-1975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARING MAN IN A VAN",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-06",
"last_updated": "2014-10-09",
"status": "A",
"authorized_official_last_name": "CHAMBERLAIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT / OWNER",
"authorized_official_telephone_number": "706-769-0075",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "GA",
"license": "2010-275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.