Community Medical Transport LLC

Primary specialty

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

Legal business name

COMMUNITY MEDICAL TRANSPORT LLC

Practice address

1110 Owens Cir
Bethlehem, GA 30620-2546

Phone

(706) 621-8861

NPI assigned

Mar 27, 2021

Last updated

Mar 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Gregory Fender, EMT-P

Title

Owner / Operator

Phone

(706) 621-8861

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616803200000",
    "number": "1114504800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 OWENS CIR",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "306202546",
            "telephone_number": "706-621-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 OWENS CIR",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "306202546",
            "telephone_number": "706-621-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-27",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A",
        "authorized_official_last_name": "FENDER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER / OPERATOR",
        "authorized_official_telephone_number": "706-621-8861",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Li Chen, D.D.S
• Hemakshi Chohan, APRN, FNP-BC
• Laura Clark
• Alece Chanel Coleman, LCSW
• Cheyney Michelle Coleman
• Christina Danielle Copeland, FNP
• Dawn Crook
• Timothy Arnold Cummins, D.C.
• Ethan James Darcy, RPH
• Horace Michael Delisser Jr., PA

• Non-emergency Medical Transport (VAN) in Bethlehem, GA
• Providers in Bethlehem, 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 Mar 27, 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.

Verify at the official NPI Registry.