Organization Active NPI

Halifax Associates LLC

  • Transportation Broker
  • Acworth, GA
National Provider Identifier
1124727748
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
HALIFAX ASSOCIATES LLC
Practice address
4621 Waters Edge LN NW
Acworth, GA 30101-6238
Phone
(404) 422-4315
Fax
(404) 420-2616
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Simeon Osita Nwegbo
Title
Ceo
Phone
(404) 422-4315

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

4621 Waters Edge LN NW
Acworth, GA 30101-6238

Mailing address

4621 Waters Edge LN NW
Acworth, GA 30101-6238
Phone (404) 422-4315

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1124727748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 WATERS EDGE LN NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016238",
            "telephone_number": "404-422-4315",
            "fax_number": "404-420-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 WATERS EDGE LN NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016238",
            "telephone_number": "404-422-4315",
            "fax_number": "404-420-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "NWEGBO",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_middle_name": "OSITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-422-4315"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.