Organization Active NPI

Deliverance Transport

  • Non-emergency Medical Transport (VAN)
  • Cordova, TN
National Provider Identifier
1386594612
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
DELIVERANCE TRANSPORT
Practice address
1004 Hunters Point Dr
Cordova, TN 38018-5877
Phone
(901) 233-9606
NPI assigned
Jan 28, 2026
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Jackie Mabon
Title
Owner
Phone
(901) 233-9606

Specialties & licenses 1

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

Addresses

Primary practice location

1004 Hunters Point Dr
Cordova, TN 38018-5877

Mailing address

1004 Hunters Point Dr
Cordova, TN 38018-5877
Phone (901) 233-9606

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1386594612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 HUNTERS POINT DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380185877",
            "telephone_number": "901-233-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 HUNTERS POINT DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380185877",
            "telephone_number": "901-233-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELIVERANCE TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "MABON",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-233-9606"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.