Individual provider Active NPI

Curtis Jerome Fludd

  • Transportation Broker
  • Charleston, SC
National Provider Identifier
1205590445
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Practice address
1816 Ground Pine Dr
Charleston, SC 29414-8120
Phone
(843) 327-2011
Fax
(843) 459-2717
NPI assigned
Oct 25, 2021
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

1816 Ground Pine Dr
Charleston, SC 29414-8120

Mailing address

1816 Ground Pine Dr
Charleston, SC 29414-8120
Phone (843) 327-2011

Other identifiers 1

IdentifierTypeStateIssuer
08012018OtherLET'S GO TRANSPORTATION SERVICE, LLC

Other names 1

  • Let's Go Transportatation Service Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Let's Go Transportation Service, LLC Transportation Broker CurrentSince Jun 11, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1205590445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 GROUND PINE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148120",
            "telephone_number": "843-327-2011",
            "fax_number": "843-459-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 GROUND PINE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148120",
            "telephone_number": "843-327-2011",
            "fax_number": "843-459-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUDD",
        "first_name": "CURTIS",
        "middle_name": "JEROME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LET'S GO TRANSPORTATION SERVICE, LLC",
            "identifier": "08012018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LET'S GO",
            "last_name": "SERVICE",
            "middle_name": "TRANSPORTATATION",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.