Georgica Rynesha Baskerville

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

2683 Brodnax Rd
Brodnax, VA 23920-2821

Phone

(434) 247-1562

Fax

(434) 636-5831

NPI assigned

Jul 26, 2017

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144744780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2683 BRODNAX RD",
            "city": "BRODNAX",
            "state": "VA",
            "postal_code": "239202821",
            "telephone_number": "434-247-1562",
            "fax_number": "434-636-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2683 BRODNAX RD",
            "city": "BRODNAX",
            "state": "VA",
            "postal_code": "239202821",
            "telephone_number": "434-247-1562",
            "fax_number": "434-636-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKERVILLE",
        "first_name": "GEORGICA",
        "middle_name": "RYNESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakora Alexander
• B&E Transportations LLC
• Boyd Transportation, LLC
• Travis Boyd
• Saint Stanley Clary
• Evette M Clayton, SERVICE FACILITATOR
• Anthony L Coleman

• All providers in Brodnax, VA
• Driver in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.