Organization Active NPI

Abi Transcare LLC

  • Non-emergency Medical Transport (VAN)
  • Leesburg, GA
National Provider Identifier
1396490413
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ABI TRANSCARE LLC
Practice address
174 Hedgerow Dr
Leesburg, GA 31763-5554
Phone
(229) 869-0166
NPI assigned
Feb 17, 2022
Last updated
Feb 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Ilyasah Davis
Title
Owner
Phone
(229) 869-0166

Specialties & licenses 1

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

Addresses

Primary practice location

174 Hedgerow Dr
Leesburg, GA 31763-5554

Mailing address

174 Hedgerow Dr
Leesburg, GA 31763-5554
Phone (229) 869-0166

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1396490413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 HEDGEROW DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635554",
            "telephone_number": "229-869-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 HEDGEROW DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635554",
            "telephone_number": "229-869-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABI TRANSCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ILYASAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-869-0166"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.