Makayla L McLaurin, TRANSPORTATION

Primary specialty

Vehicle Modifications ContractorTaxonomy code 171WV0202X

License

20033633 Issued in GA

Practice address

188 North Ave
Jonesboro, GA 30236-3215

Phone

(470) 654-9958

Fax

(770) 522-6179

NPI assigned

Oct 16, 2023

Last updated

Oct 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tender Minds Care LLC

  • Non-emergency Medical Transport (VAN)
  • Stockbridge, GA
  • NPI 1982473435
  NPD

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1235911249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ASHAND GROVE",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813215",
            "telephone_number": "678-697-9070",
            "fax_number": "770-522-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 NORTH AVE",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363215",
            "telephone_number": "470-654-9958",
            "fax_number": "770-522-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAURIN",
        "first_name": "MAKAYLA",
        "middle_name": "L",
        "credential": "TRANSPORTATION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": "GA",
            "license": "20033633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadeana L McDaniel
• Brianne McDonald
• Steven Douglas McGlocklin, MD
• McKnight Personal Care Home Inc,
• Megan Leigh McLain, DPT
• Eunice McMurtry
• Med Powered Medical Supply LLC
• Mediclinic
• Medirides Solutions LLC
• Paola Cristina Melendez

• Contractor in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.