S and W Diversified Trans LLC

Primary specialty

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

Legal business name

S AND W DIVERSIFIED TRANS LLC

Practice address

157 Burke St
Stockbridge, GA 30281-3433

Phone

(678) 993-7436

NPI assigned

Sep 17, 2021

Last updated

Sep 17, 2021By 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

Wilbert Tafadzwa Nyamayedenga

Title

Director

Phone

(678) 308-0363

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1326718651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 JACLAIRE LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302523117",
            "telephone_number": "678-308-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BURKE ST",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813433",
            "telephone_number": "678-993-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S AND W DIVERSIFIED TRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "NYAMAYEDENGA",
        "authorized_official_first_name": "WILBERT",
        "authorized_official_middle_name": "TAFADZWA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-308-0363"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "157 Burke St",
            "city": "Stockbridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302813433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Stockbridge, GA
• Providers in Stockbridge, 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 Sep 17, 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.