Active NPI
Fegiyo Corporation
- Non-emergency Medical Transport (VAN)
- Jonesboro, GA
National Provider Identifier
1194386789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.