Greenway Medical Transport, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

GREENWAY MEDICAL TRANSPORT, LLC

Practice address

1932 Griffin TRL
Bartow, FL 33830-7902

Phone

(863) 308-6029

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

Avy Smith

Title

Owner

Phone

(941) 465-8081

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1235630922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 GRIFFIN TRL",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338307902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 GRIFFIN TRL",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338307902",
            "telephone_number": "863-308-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AVY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-465-8081"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Evette Graham, RN
• Kenisha Graham
• Jamie Grandy, LMHC
• Diane Grant
• David R Green
• Joseph Richard Grych, APRN
• Jose Guevara Zayas, RBT
• Linda J Haggins
• Lois Hall, ARNP
• Patrica Hall, RN

• Non-emergency Medical Transport (VAN) in Bartow, FL
• Providers in Bartow, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.