Active NPI
Allyant, LLC
- Land Ambulance
- Fairburn, GA
National Provider Identifier
1215498472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200901001526 | GA | Part B Supplier - Ambulance Service Supplier | 5597182857 | Practice locations: Fayetteville, GA |
National Provider Directory
National Provider DirectoryLocations
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.