NPIMap

Organization Active NPI

PG Elite Transportation

  • Non-emergency Medical Transport (VAN)
  • Smyrna, GA
National Provider Identifier
1114767746
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PG ELITE TRANSPORTATION
Practice address
2400 Herodian Way SE Ste 220
Smyrna, GA 30080-8500
Phone
(678) 467-8671
Fax
(678) 666-1988
NPI assigned
May 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Reniesha Raglin
Title
Ceo
Phone
(404) 951-9450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2400 Herodian Way SE Ste 220
Smyrna, GA 30080-8500

Mailing address

2400 Herodian Way SE Ste 220
Smyrna, GA 30080-8500
Phone (678) 467-8671

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1114767746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HERODIAN WAY SE STE 220",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808500",
            "telephone_number": "678-467-8671",
            "fax_number": "678-666-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HERODIAN WAY SE STE 220",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808500",
            "telephone_number": "678-467-8671",
            "fax_number": "678-666-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PG ELITE TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "RAGLIN",
        "authorized_official_first_name": "RENIESHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-951-9450"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.