Organization Active NPI

Allyant, LLC

  • Land Ambulance
  • Fairburn, GA
National Provider Identifier
1215498472
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ALLYANT, LLC
Practice address
7646 The Lakes Dr
Fairburn, GA 30213-2397
Phone
(404) 642-7009
NPI assigned
Mar 28, 2019
Last updated
Mar 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Mr. Jerome Wright
Title
President & Ceo
Phone
(404) 642-7009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

7646 The Lakes Dr
Fairburn, GA 30213-2397

Mailing address

7646 The Lakes Dr
Fairburn, GA 30213-2397
Phone (404) 642-7009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200901001526 GA Part B Supplier - Ambulance Service Supplier 5597182857 Practice locations: Fayetteville, GA

National Provider Directory

National Provider Directory

Locations

1572 Highway 85 N
Ste 621
Fayetteville, GA 30214
Phone (404) 965-4120

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1215498472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7646 THE LAKES DR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302132397",
            "telephone_number": "404-642-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7646 THE LAKES DR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302132397",
            "telephone_number": "404-642-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLYANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "404-642-7009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.