Active NPI
Koch Transportation Services
- Non-emergency Medical Transport (VAN)
- Buford, GA
National Provider Identifier
1275100323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- KOCH TRANSPORTATION SERVICES
- Practice address
- 4046 Water Mill Dr Ste 500
Buford, GA 30519-7269 - Phone
- (678) 887-8026
- NPI assigned
- Jun 8, 2021
- Last updated
- Jun 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tinyko Koch
- Title
- Ceo
- Phone
- (678) 887-8026
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NU | Primary |
Addresses
Primary practice location
4046 Water Mill Dr Ste 500
Buford, GA 30519-7269
Mailing address
4046 Water Mill Dr Ste 500
Buford, GA 30519-7269
Phone (678) 887-8026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417534066 | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Licensed Vocational Nurse
- Buford, GA
- NPI 1417534066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623110400000",
"number": "1275100323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4046 WATER MILL DR STE 500",
"city": "BUFORD",
"state": "GA",
"postal_code": "305197269",
"telephone_number": "678-887-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4046 WATER MILL DR STE 500",
"city": "BUFORD",
"state": "GA",
"postal_code": "305197269",
"telephone_number": "678-887-8026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOCH TRANSPORTATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A",
"authorized_official_last_name": "KOCH",
"authorized_official_first_name": "TINYKO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-887-8026"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417534066",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.