Medic-Pearl, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MEDIC-PEARL, LLC

Practice address

1108 Charter Oak CT
Villa Rica, GA 30180

Phone

(678) 471-4554

NPI assigned

Feb 26, 2016

Last updated

Feb 26, 2016By 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

Ms. Lachanda D Anaga-Nwoke

Title

Owner/Member

Phone

(678) 471-4554

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1366802845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 CHARTER OAK CT",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "30180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 CHARTER OAK CT",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "30180",
            "telephone_number": "678-471-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC-PEARL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "ANAGA-NWOKE",
        "authorized_official_first_name": "LACHANDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "678-471-4554",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.