Tactical Medical Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TACTICAL MEDICAL TRANSPORT LLC

Practice address

4284 Memorial Dr Ste D
Decatur, GA 30032-1220

Phone

(678) 832-8561

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Shirmaul Wilson

Title

Manager

Phone

(678) 832-8561

Specialties & licenses 2

Addresses

Electronic endpoints 3

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

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1205411006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4284 MEMORIAL DR STE D",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 MEMORIAL DR STE D",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321220",
            "telephone_number": "678-832-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACTICAL MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHIRMAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-832-8561"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tacticalmed.trans@gmail.com",
            "affiliation": "N",
            "address_1": "4284 Memorial Dr Ste D",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300321220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tacticalmed.trans@gmail.com",
            "affiliation": "N",
            "address_1": "4284 Memorial Dr Ste D",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300321220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tacticalmed.trans@gmail.com",
            "affiliation": "N",
            "address_1": "4284 Memorial Dr Ste D",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300321220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• T&T Eyecare, LLC
• T2 Imaging
• Minh Cong Ta, O.D.
• Erin Kaminsky Tabb, PT, DPT
• Amber Tacke, L.C.S.W.
• Tadda'S Total Wellness
• Solomon Tafari, M.D.
• Elizabeth Iju Tai
• Takyi Medical Concepts
• Delores Talmadge

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.