Deltamed Medical Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

DELTAMED MEDICAL TRANSPORT LLC

Doing business as

DMed Medical Transport LLC

Practice address

1954 Airport Rd Ste 131
Chamblee, GA 30341-4956

Phone

(404) 779-7799

Fax

(800) 431-8656

NPI assigned

Oct 2, 2023

Last updated

Sep 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rasha Shawky

Title

Ceo

Phone

(404) 779-7799

Specialties & licenses 1

Addresses

Other names 1

• DMed Medical Transport LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1194505628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 AIRPORT RD STE 131",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303414956",
            "telephone_number": "404-779-7799",
            "fax_number": "800-431-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 AIRPORT RD STE 131",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303414956",
            "telephone_number": "404-779-7799",
            "fax_number": "800-431-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTAMED MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "SHAWKY",
        "authorized_official_first_name": "RASHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-779-7799"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMed Medical Transport LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.