Organization Active NPI

Blue Ridge Medical Transport

  • Ambulance
  • Morganton, GA
National Provider Identifier
1225508278
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20190401000365 GA Part B Supplier - Ambulance Service Supplier 2062753072 Practice locations: Morganton, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2274740Blue Ridge Medical Transport LLC16658 Morganton Highway, Morganton, GA 30560Certificate of waiverJan 9, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.