Organization Active NPI

Wellgo Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Stone Mountain, GA
National Provider Identifier
1386579928
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
WELLGO MEDICAL TRANSPORTATION LLC
Practice address
1125 Old Saybrook CT
Stone Mountain, GA 30083-2633
Phone
(610) 739-9430
Fax
(610) 739-9430
NPI assigned
Jun 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Girum Woldemariam
Title
Operational Manager
Phone
(610) 739-9430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1125 Old Saybrook CT
Stone Mountain, GA 30083-2633

Mailing address

2437 Ivey Crest Cir
Tucker, GA 30084-3756
Phone (610) 739-9430

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1386579928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 IVEY CREST CIR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300843756",
            "telephone_number": "610-739-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 OLD SAYBROOK CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832633",
            "telephone_number": "610-739-9430",
            "fax_number": "610-739-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLGO MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "WOLDEMARIAM",
        "authorized_official_first_name": "GIRUM",
        "authorized_official_title_or_position": "OPERATIONAL MANAGER",
        "authorized_official_telephone_number": "610-739-9430"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.