Organization Active NPI

Thomasville Brokerage

  • Non-emergency Medical Transport (VAN)
  • Thomasville, GA
National Provider Identifier
1306118708
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
THOMASVILLE BROKERAGE
Practice address
1304 E Jackson St
Thomasville, GA 31792-4749
Phone
(229) 379-1007
Fax
(229) 236-0134
NPI assigned
Jan 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Mrs. Atlemisia Ma'Kara AndersonNPI 1619216637
Title
President
Phone
(229) 379-1007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X GA
Non-emergency Medical Transport (VAN) 343900000X GA Primary

Addresses

Primary practice location

1304 E Jackson St
Thomasville, GA 31792-4749

Mailing address

1304 E Jackson St
Thomasville, GA 31792-4749
Phone (229) 379-1007

Other names 1

  • aa transportation Doing business as

National Provider Directory

National Provider Directory

Locations

1304 E Jackson St
Thomasville, GA 31792
Phone (229) 379-1007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1306118708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 E JACKSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924749",
            "telephone_number": "229-379-1007",
            "fax_number": "229-236-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 E JACKSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924749",
            "telephone_number": "229-379-1007",
            "fax_number": "229-236-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASVILLE BROKERAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ATLEMISIA",
        "authorized_official_middle_name": "MA'KARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-379-1007",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "aa transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.