Organization Active NPI

Devotionmobilephlebotomyservicesco.LLC

  • Non-emergency Medical Transport (VAN)
  • Conyers, GA
National Provider Identifier
1205713013
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
DEVOTIONMOBILEPHLEBOTOMYSERVICESCO.LLC
Practice address
2385 Wall Street #207
Conyers, GA 30013
Phone
(678) 887-1323
Fax
(404) 570-4957
NPI assigned
Aug 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Tamora Gilliam
Title
Owner
Phone
(678) 887-1323

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RP1900X
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2385 Wall Street #207
Conyers, GA 30013

Mailing address

2385 Wall Street #207
Conyers, GA 30013

National Provider Directory

National Provider Directory

Locations

2385 Wall St SE
#207
Conyers, GA 30013
Phone (678) 887-1323

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1205713013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 WALL STREET #207",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013",
            "fax_number": "404-570-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 WALL STREET #207",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013",
            "telephone_number": "678-887-1323",
            "fax_number": "404-570-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTIONMOBILEPHLEBOTOMYSERVICESCO.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "TAMORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-887-1323"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.