Organization Active NPI

Genesis 7 Transport

  • Land Ambulance
  • Lawrenceville, GA
National Provider Identifier
1386936771
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GENESIS 7 TRANSPORT
Practice address
2675 Sugarloaf Pkwy
Lawrenceville, GA 30045-9342
Phone
(678) 294-2601
NPI assigned
May 4, 2011
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Daniel Bratescu
Title
Ceo
Phone
(678) 948-5612

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

2675 Sugarloaf Pkwy
Lawrenceville, GA 30045-9342

Mailing address

PO Box 841
Snellville, GA 30078-0841
Phone (678) 294-2601

Other identifiers 1

IdentifierTypeStateIssuer
003128307AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110801000323 GA Part B Supplier - Ambulance Service Supplier 6204005697 Practice locations: Lawrenceville, GA

National Provider Directory

National Provider Directory

Locations

2140 McGee Rd
Ste 3700
Snellville, GA 30078
Phone (678) 948-5612

2140 McGee Rd
Ste A3700
Snellville, GA 30078

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1386936771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300780841",
            "telephone_number": "678-294-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 SUGARLOAF PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459342",
            "telephone_number": "678-294-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS 7 TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "BRATESCU",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-948-5612"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003128307A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.