Organization Active NPI

G-Vegas Transporation LLC

  • Non-emergency Medical Transport (VAN)
  • Greenville, NC
National Provider Identifier
1407489412
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
G-VEGAS TRANSPORATION LLC
Doing business as
G-Vegas Transporation LLC
Practice address
315 Evans St
Greenville, NC 27858-1832
Phone
(252) 412-0008
NPI assigned
Feb 18, 2020
Last updated
Feb 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Antonio Demetrius Sharp
Title
Owner
Phone
(252) 412-0008

Specialties & licenses 1

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

Addresses

Primary practice location

315 Evans St
Greenville, NC 27858-1832

Mailing address

315 Evans St
Greenville, NC 27858-1832
Phone (252) 412-0008

Other identifiers 1

IdentifierTypeStateIssuer
NONEMedicaidNC

Other names 1

  • G-Vegas Transporation LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 31southevansstreet Direct

National Provider Directory

National Provider Directory

Locations

315 Evans St
Greenville, NC 27858
Phone (252) 214-0253

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1407489412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 EVANS ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278581832",
            "telephone_number": "252-412-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 EVANS ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278581832",
            "telephone_number": "252-412-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G-VEGAS TRANSPORATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "DEMETRIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-412-0008"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NONE",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "31southevansstreet",
            "affiliation": "N",
            "endpointDescription": "31southevansstreet",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "31southevansstreet",
            "address_1": "315 Evans St",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278581832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "G-Vegas Transporation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.