NPIMap

Organization Active NPI

Atlanta Wellness Transportation

  • Transportation Broker
  • Atlanta, GA
National Provider Identifier
1205328630
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
ATLANTA WELLNESS TRANSPORTATION
Doing business as
Atlanta Wellness Transportation
Practice address
541 Holderness St SW
Atlanta, GA 30310-1750
Phone
(404) 271-0475
NPI assigned
Jun 1, 2018
Last updated
Jun 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Authorized official

Name
Bobby SuttonNPI 1164929683
Title
Ceo
Phone
(404) 271-0475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X NU Primary

Addresses

Primary practice location

541 Holderness St SW
Atlanta, GA 30310-1750

Mailing address

541 Holderness St SW
Atlanta, GA 30310-1750
Phone (404) 271-0475

Other practice location 1

541 Holderness St SW
Atlanta, GA 30310-1750
Phone (404) 271-0475

Other names 1

  • Atlanta Wellness Transportation Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1205328630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 HOLDERNESS ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101750",
            "telephone_number": "404-271-0475",
            "fax_number": "404-752-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 HOLDERNESS ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101750",
            "telephone_number": "404-271-0475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 Holderness St SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303101750",
            "country_code": "US",
            "telephone_number": "404-271-0475",
            "fax_number": "404-752-8992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTA WELLNESS TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-271-0475"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Wellness Transportation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlanta Wellness Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.