Organization Active NPI

Koch Transportation Services

  • Non-emergency Medical Transport (VAN)
  • Buford, GA
National Provider Identifier
1275100323
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Tinyko KochNPI 1417534066
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1417534066MedicaidGA

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.