Organization Active NPI

Gustav Delivery LLC

  • Home Delivered Meals
  • Augusta, GA
National Provider Identifier
1255252557
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
GUSTAV DELIVERY LLC
Practice address
2040 Wharton Dr
Augusta, GA 30904-5084
Phone
(803) 869-3189
NPI assigned
Jul 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Mr. Tyrick M Makerson
Title
Operation Manager
Phone
(803) 869-3189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

2040 Wharton Dr
Augusta, GA 30904-5084

Mailing address

2040 Wharton Dr
Augusta, GA 30904-5084
Phone (803) 869-3189

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1255252557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 WHARTON DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045084",
            "telephone_number": "803-869-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 WHARTON DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045084",
            "telephone_number": "803-869-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAV DELIVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "MAKERSON",
        "authorized_official_first_name": "TYRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "803-869-3189",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.