NPIMap

Organization Active NPI

Palms South LLC

  • Land Ambulance
  • Valdosta, GA
National Provider Identifier
1255768149
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PALMS SOUTH LLC
Practice address
108 Webster St
Valdosta, GA 31601-4616
Phone
(404) 510-4786
NPI assigned
Oct 9, 2013
Organization subpart
Yes
Parent organization
PALMS MEDICAL TRANSPORT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Authorized official

Name
Mr. Maurice Grayson
Title
Ceo
Phone
(404) 510-4786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X GA Primary

Addresses

Primary practice location

108 Webster St
Valdosta, GA 31601-4616

Mailing address

PO Box 843
Byron, GA 31008-0843
Phone (404) 510-4786

Other names 1

  • P.A.L.M.S. Medical Transport Doing business as

National Provider Directory

National Provider Directory
Part of
Palms Medical Transport LLC

Locations

108 Webster St
Valdosta, GA 31601
Phone (404) 510-4786

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1255768149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310080843",
            "telephone_number": "404-510-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WEBSTER ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316014616",
            "telephone_number": "404-510-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMS SOUTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMS MEDICAL TRANSPORT, LLC",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-510-4786",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P.A.L.M.S. Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.