Active NPI
Blue Ridge Medical Transport
- Ambulance
- Morganton, GA
National Provider Identifier
1225508278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- BLUE RIDGE MEDICAL TRANSPORT
- Practice address
- 16658 Morganton Hwy
Morganton, GA 30560-4144 - Phone
- (706) 633-8086
- NPI assigned
- Dec 3, 2018
- Last updated
- Apr 23, 2019
- 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
- David Ryan McDaris, PRMDC
- Title
- Owner
- Phone
- (706) 633-8086
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
16658 Morganton Hwy
Morganton, GA 30560-4144
Mailing address
16658 Morganton Hwy
Morganton, GA 30560-4144
Phone (706) 633-8086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190401000365 | GA | Part B Supplier - Ambulance Service Supplier | 2062753072 | Practice locations: Morganton, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2274740 | Blue Ridge Medical Transport LLC | Certificate of waiver | Jan 9, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555977600000",
"number": "1225508278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16658 MORGANTON HWY",
"city": "MORGANTON",
"state": "GA",
"postal_code": "305604144",
"telephone_number": "706-633-8086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16658 MORGANTON HWY",
"city": "MORGANTON",
"state": "GA",
"postal_code": "305604144",
"telephone_number": "706-633-8086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE RIDGE MEDICAL TRANSPORT",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-03",
"last_updated": "2019-04-23",
"status": "A",
"authorized_official_last_name": "MCDARIS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-633-8086",
"authorized_official_credential": "PRMDC"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.