Paul Girls Legacy Transport Services LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

PAUL GIRLS LEGACY TRANSPORT SERVICES LLC

Practice address

1114 Shaw St
Burlington, NC 27217-1545

Phone

(336) 512-6502

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Clarissa Dale Paul

Title

Administrator

Phone

(336) 512-6502

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1427822246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 SHAW ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272171545",
            "telephone_number": "336-512-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 SHAW ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272171545",
            "telephone_number": "336-512-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL GIRLS LEGACY TRANSPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-512-6502"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristin Nichole Patterson, PHARMD
• Tyler Patterson, PHARMD
• Vicki Michelle Patterson
• Patty Vision Center OD PA
• Augusta Reid Patty Jr., OD
• Matthew D. Paulakonis, M.P.T.
• Elizabeth Pawluk, PHARMD
• Jonathan E Paylor
• Aidyn Peace
• Douglas W. Peed, M.D.

• Secured Medical Transport (VAN) in Burlington, NC
• Providers in Burlington, NC by specialty
• Secured Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.