Organization Active NPI

Medi Run Van

  • Non-emergency Medical Transport (VAN)
  • Warner Robins, GA
National Provider Identifier
1215875232
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDI RUN VAN
Practice address
4501 Russell Pkwy Ste 18
Warner Robins, GA 31088-8680
Phone
(478) 287-6585
NPI assigned
Mar 23, 2026
Organization subpart
Yes
Parent organization
MEDI RUNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Jacob StewartNPI 1053166058
Title
Ceo
Phone
(478) 287-6585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

4501 Russell Pkwy Ste 18
Warner Robins, GA 31088-8680

Mailing address

4501 Russell Pkwy Ste 18
Warner Robins, GA 31088-8680
Phone (478) 287-6585

National Provider Directory

National Provider Directory
Part of
Medi Run

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1215875232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 RUSSELL PKWY STE 18",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888680",
            "telephone_number": "478-287-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 RUSSELL PKWY STE 18",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888680",
            "telephone_number": "478-287-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI RUN VAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDI RUN",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-287-6585"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.