Clemons Transport

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

00225751 Issued in GA

Legal business name

CLEMONS TRANSPORT

Practice address

1845 Clearlake Trce
Stone Mountain, GA 30088-4005

Phone

(770) 873-6431

Fax

(770) 593-3743

NPI assigned

Feb 27, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Wesley Clemons

Title

Owner

Phone

(770) 873-6431

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1298764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298764800000",
    "number": "1427355486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 CLEARLAKE TRCE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300884005",
            "telephone_number": "770-873-6431",
            "fax_number": "770-593-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CLEARLAKE TRCE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300884005",
            "telephone_number": "770-873-6431",
            "fax_number": "770-593-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMONS TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-27",
        "last_updated": "2011-02-27",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-873-6431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "00225751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS AND OCCUPATIONAL TAX CERTIFICATE",
            "identifier": "00225751",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleanor Chung, LPN
• Sasha-Ann L Cisneros
• Ashley Victoria Clark, PTA
• Kim Meldrum Clarke
• Classic Community Support Inc
• Avis Clemons
• Alasia Clinton
• Beatrice Clodomir, D.O.
• Desiree Nicole Cochran-Norfolk, CCS, CMAC, CAC II
• Gretchen Cody

• Non-emergency Medical Transport (VAN) in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2011; 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.