Organization Active NPI

1Ntegrity Medical Transport, LLC

  • Non-emergency Medical Transport (VAN)
  • Fairburn, GA
National Provider Identifier
1124913108
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
1NTEGRITY MEDICAL TRANSPORT, LLC
Practice address
17 Jerome Rd
Fairburn, GA 30213-1794
Phone
(678) 329-9943
Fax
(678) 487-5263
NPI assigned
Jun 11, 2025
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Ms. Kimberly K Gates
Title
Owner
Phone
(470) 234-5194

Specialties & licenses 1

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

Addresses

Primary practice location

17 Jerome Rd
Fairburn, GA 30213-1794

Mailing address

3800 Camp Creek Pkwy
BLD 1400 Ste 116B #1037
Atlanta, GA 30331-6247
Phone (470) 234-5194

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1124913108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 CAMP CREEK PKWY",
            "address_2": "BLD 1400 STE 116B #1037",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303316247",
            "telephone_number": "470-234-5194",
            "fax_number": "678-487-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 JEROME RD",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302131794",
            "telephone_number": "678-329-9943",
            "fax_number": "678-487-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1NTEGRITY MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-234-5194",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.