Prime Care Medical Transportation, LLC

Primary specialty

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

Legal business name

PRIME CARE MEDICAL TRANSPORTATION, LLC

Practice address

120 Dallas LN
Statesville, NC 28677-9779

Phone

(704) 682-9804

NPI assigned

Mar 7, 2023

Organization subpart

No

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

Authorized official

Name

Robby Perkins-Wells

Title

Operations Officer

Phone

(704) 682-9804

Specialties & licenses 4

Addresses

Other identifiers 2

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716076800000",
    "number": "1386344554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DALLAS LN",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286779779",
            "telephone_number": "704-682-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DALLAS LN",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286779779",
            "telephone_number": "704-682-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A",
        "authorized_official_last_name": "PERKINS-WELLS",
        "authorized_official_first_name": "ROBBY",
        "authorized_official_title_or_position": "OPERATIONS OFFICER",
        "authorized_official_telephone_number": "704-682-9804"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40432391",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STRETCHER SERVICES",
            "identifier": "7752D-FD6C56C6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark L Prendergast, MD
• Jessica Trivette Prevette, FNP-C
• Gerri J Price, C.F.O.M., C.PED.
• James B Price Jr., PH.D., C.P.O.
• James Lamar Price, RPH
• Douglas D Pritchard, M.D.
• Prohealth Counseling Services LLC
• Phoebe Ireland Pruneda, LCSW-A
• Publix North Carolina LP (Publix Pharmacy #1539)
• Amanda Marie Pugh

• Non-emergency Medical Transport (VAN) in Statesville, NC
• Providers in Statesville, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; 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.