Organization Active NPI

Chariot Medical Transport Services, LLC

  • Land Ambulance
  • Conyers, GA
National Provider Identifier
1154864007
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CHARIOT MEDICAL TRANSPORT SERVICES, LLC
Practice address
620 Sigman Rd NE Ste 400
Conyers, GA 30013-1325
Phone
(770) 679-1530
Fax
(678) 609-1577
NPI assigned
Nov 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Erin Johnson
Title
Ceo
Phone
(504) 722-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

620 Sigman Rd NE Ste 400
Conyers, GA 30013-1325

Mailing address

PO Box 82465
Conyers, GA 30013-9436
Phone (770) 679-1530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171002000835 GA Part B Supplier - Ambulance Service Supplier 0446525463 Practice locations: Conyers, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2198919Chariot Medical Transport Services, LLC620 Sigman Road, NE, Suite 400, Conyers, GA 30013Certificate of waiverNov 3, 2026

National Provider Directory

National Provider Directory

Locations

620 Sigman Rd NE
Ste 100
Conyers, GA 30013
Phone (770) 679-1530

620 Sigman Rd NE
Ste 400
Conyers, GA 30013
Phone (770) 679-1530

NPI Registry JSON

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

{
    "created_epoch": "1480204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1154864007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82465",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300139436",
            "telephone_number": "770-679-1530",
            "fax_number": "678-609-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SIGMAN RD NE STE 400",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131325",
            "telephone_number": "770-679-1530",
            "fax_number": "678-609-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIOT MEDICAL TRANSPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-27",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-722-9400"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.