NPIMap

Organization Active NPI

Pioneer Transport

  • Non-emergency Medical Transport (VAN)
  • Marion, SC
National Provider Identifier
1437507415
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PIONEER TRANSPORT
Practice address
611 W Godbold St Ste 100
Marion, SC 29571-3413
Phone
(843) 468-1623
NPI assigned
May 31, 2016
Last updated
May 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Di'Ontrey Da'Von Gibbons
Title
Owner
Phone
(843) 468-1623

Specialties & licenses 1

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

Addresses

Primary practice location

611 W Godbold St Ste 100
Marion, SC 29571-3413

Mailing address

611 W Godbold St Ste 100
Marion, SC 29571-3413
Phone (843) 468-1623

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1437507415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W GODBOLD ST STE 100",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295713413",
            "telephone_number": "843-468-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W GODBOLD ST STE 100",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295713413",
            "telephone_number": "843-468-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "DI'ONTREY",
        "authorized_official_middle_name": "DA'VON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-468-1623"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.