Organization Active NPI

Fegiyo Corporation

  • Non-emergency Medical Transport (VAN)
  • Jonesboro, GA
National Provider Identifier
1194386789
Registry record updated Jun 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
FEGIYO CORPORATION
Practice address
6457 Tara Blvd Ste 7
Jonesboro, GA 30236-1214
Phone
(770) 892-1065
NPI assigned
Jun 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2019

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

Authorized official

Name
Fabian Agbonjiazoe
Title
Ceo
Phone
(770) 892-1065

Specialties & licenses 1

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

Addresses

Primary practice location

6457 Tara Blvd Ste 7
Jonesboro, GA 30236-1214

Mailing address

6457 Tara Blvd Ste 7
Jonesboro, GA 30236-1214

Other names 1

  • Fegiyo MedRide Doing business as

National Provider Directory

National Provider Directory

Locations

6457 Tara Blvd
Ste 7
Jonesboro, GA 30236
Phone (678) 519-2030

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561852800000",
    "number": "1194386789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6457 TARA BLVD STE 7",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6457 TARA BLVD STE 7",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361214",
            "telephone_number": "770-892-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEGIYO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-30",
        "status": "A",
        "authorized_official_last_name": "AGBONJIAZOE",
        "authorized_official_first_name": "FABIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-892-1065"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fegiyo MedRide",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2019; 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.