Organization Active NPI

Medi Lyft LLC

  • Non-emergency Medical Transport (VAN)
  • Norcross, GA
National Provider Identifier
1396578019
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDI LYFT LLC
Practice address
1234 Beaver Ruin Rd Ste 308
Norcross, GA 30093-3552
Phone
(470) 544-0961
NPI assigned
Aug 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Mr. Emmanuel Ijei
Title
Operational Manager
Phone
(470) 544-0961

Specialties & licenses 1

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

Addresses

Primary practice location

1234 Beaver Ruin Rd Ste 308
Norcross, GA 30093-3552

Mailing address

1234 Beaver Ruin Rd Ste 308
Norcross, GA 30093-3552
Phone (470) 544-0961

National Provider Directory

National Provider Directory

Locations

1234 Beaver Ruin Rd
Ste 308
Norcross, GA 30093
Phone (470) 544-0961

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1396578019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 BEAVER RUIN RD STE 308",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933552",
            "telephone_number": "470-544-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 BEAVER RUIN RD STE 308",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933552",
            "telephone_number": "470-544-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI LYFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "IJEI",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OPERATIONAL MANAGER",
        "authorized_official_telephone_number": "470-544-0961",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.