Med-360

Primary specialty

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

License

18-56351 Issued in GA

Legal business name

MED-360

Practice address

318 Jefferson Dr
Atlanta, GA 30350-7107

Phone

(678) 675-5858

NPI assigned

Jul 25, 2018

Last updated

Jul 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keisha Lynnetta JohnsonNPI 1700531472

Title

Ceo

Phone

(678) 675-5858

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Keisha Lynnetta Johnson, MPH, CHES

  • Health Educator
  • Houston, TX
  • NPI 1700531472
  NPD Authorized official

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1295212850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 ROSWELL RD STE 566601",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303504838",
            "telephone_number": "678-675-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 JEFFERSON DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303507107",
            "telephone_number": "678-675-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-360",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "LYNNETTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-675-5858"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "18-56351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA REVENUE",
            "identifier": "20256750065",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Desantis Meaux, PH.D.
• April Meche
• Med 2 Geaux LLC
• Med Health Services LLC
• Med Tech Testing, LLC
• Med1 Services LLC
• Soumya Reddy Meda, DO
• Medascend USA Urgent Care Centers Inc
• Robert L. Medcalf, PT
• Medcura Health, Inc.

• Non-emergency Medical Transport (VAN) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.