Medtrips of the Carolinas LLC

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

MEDTRIPS OF THE CAROLINAS LLC

Practice address

5250 Fewell Rd
Lake Wylie, SC 29710-7012

Phone

(980) 254-7087

NPI assigned

May 26, 2020

Organization subpart

No

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

Authorized official

Name

T W

Title

Owner

Phone

(980) 254-7087

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1356964241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7137 BADENOCH CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173483",
            "telephone_number": "980-254-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 FEWELL RD",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297107012",
            "telephone_number": "980-254-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTRIPS OF THE CAROLINAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "W",
        "authorized_official_first_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-254-7087"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M Matos, DT
• Diana M McGuire, RPH
• Megan T McKee, LPC
• Pamela McMillin, CRNA
• Thomas Calvin Mealing, DPT
• Nathan Meek, PHARMD
• Beni Mfitidi, MD
• Hong N Mitchell
• Modlin & Londry Xvi DDS LLC
• John Moore

• Transportation Broker in Lake Wylie, SC
• Providers in Lake Wylie, SC by specialty
• Transportation Broker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.