Organization Active NPI

Atl Ally-Med Transport Logistics, LLC.

  • Ambulance
  • Marietta, GA
National Provider Identifier
1336815588
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
ATL ALLY-MED TRANSPORT LOGISTICS, LLC.
Practice address
1343 Baileys Cor
Marietta, GA 30062-2072
Phone
(404) 444-3040
NPI assigned
Aug 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Mr. Theodore T Hanson, PARAMEDICNPI 1184390312
Title
Ceo
Phone
(404) 444-3040

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

1343 Baileys Cor
Marietta, GA 30062-2072

Mailing address

1343 Baileys Cor
Marietta, GA 30062-2072
Phone (404) 444-3040

Other names 1

  • Ally-Med Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1336815588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 BAILEYS COR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622072",
            "telephone_number": "404-444-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 BAILEYS COR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622072",
            "telephone_number": "404-444-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATL ALLY-MED TRANSPORT LOGISTICS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-444-3040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ally-Med",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.