West Georgia Star

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

WEST GEORGIA STAR

Practice address

201 Chatham St
Lagrange, GA 30240-5313

Phone

(706) 616-3545

NPI assigned

May 24, 2017

Last updated

May 24, 2017By 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

Mr. Jocies Edmondson

Title

Transportation Agent

Phone

(706) 616-3545

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1205364031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CHATHAM ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CHATHAM ST",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405313",
            "telephone_number": "706-616-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA STAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "JOCIES",
        "authorized_official_title_or_position": "TRANSPORTATION AGENT",
        "authorized_official_telephone_number": "706-616-3545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Georgia Medical Center, Inc. (West Georgia Home Care)
• West Georgia Medical Center, Inc. (West Georgia Hospice)
• West Georgia Medical Center, Inc. (WellStar West Georgia Medical Center)
• West Georgia Medical Group-Lagrange
• West Georgia Multi Specialty Clinic, PC
• Gayle Whaley, RN
• Caleb M White, DPT, PT
• Jeremy Jason White, DO/PHD
• Stephanie White, CRNP
• Jim Whitley, BC-HIS

• Non-emergency Medical Transport (VAN) in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.