South Star Transport, Inc

Primary specialty

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

License

600165 Issued in GA

Legal business name

SOUTH STAR TRANSPORT, INC

Practice address

3675 Crestwood Pkwy NW
Duluth, GA 30096-1805

Phone

(404) 322-7089

Fax

(866) 717-2986

NPI assigned

Aug 13, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Dana Fayonne Owens

Title

Owner

Phone

(404) 322-7089

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1467709162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 135",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300480135",
            "telephone_number": "404-322-7089",
            "fax_number": "866-717-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 CRESTWOOD PKWY NW",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961805",
            "telephone_number": "404-322-7089",
            "fax_number": "866-717-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH STAR TRANSPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "FAYONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-322-7089",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "600165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel H Song, M.D.
• Sool Kee Song, MD
• Yeohan Song, MD
• Marvis Latrice Sonnier, D.D.S.
• South Georgia Anesthesia Group, P.C.
• Southern Plastic Surgery, P.C.
• Flavia Souza, R.D.N.
• Adama Sow, RN
• Sandra J Spahn, M.S.
• Lisa Ann Sparks, RPH

• Non-emergency Medical Transport (VAN) in Duluth, GA
• Providers in Duluth, 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 Aug 13, 2012; 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.