Genesis Transportation Services LLC

Primary specialty

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

Legal business name

GENESIS TRANSPORTATION SERVICES LLC

Doing business as

Genesis Transportation Services LLC

Practice address

1160 Rosewood St
Jackson, MS 39212-3966

Phone

(601) 383-5815

Fax

(769) 251-5183

NPI assigned

May 25, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Tracey Vaughns BryantNPI 1518581511

Title

Owner

Phone

(601) 383-5815

Specialties & licenses 1

Addresses

Other names 1

• Genesis Transportation Services LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracey Bryant

  • Non-emergency Medical Transport (VAN)
  • Jackson, MS
  • NPI 1518581511
  NPD Authorized official

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1255023230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 ROSEWOOD ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123966",
            "telephone_number": "601-383-5815",
            "fax_number": "769-251-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 ROSEWOOD ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123966",
            "telephone_number": "601-383-5815",
            "fax_number": "769-251-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS TRANSPORTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "VAUGHNS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-383-5815",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Transportation Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genesis Transportation Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brittany Gentry, FNP
• Virginia Poole Gentry
• Elizabeth George, MD

• Non-emergency Medical Transport (VAN) in Jackson, MS
• Providers in Jackson, MS by specialty
• Non-emergency Medical Transport (VAN) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.