Elite Transportation Agency LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

License

052890009 Issued in GA

Legal business name

ELITE TRANSPORTATION AGENCY LLC

Practice address

1267 Hull Rd
Athens, GA 30601-3914

Phone

(706) 366-1832

NPI assigned

Feb 9, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jerry F Stokes

Title

Owner

Phone

(706) 366-1832

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1477052942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 HULL RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306013914",
            "telephone_number": "706-366-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 HULL RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306013914",
            "telephone_number": "706-366-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE TRANSPORTATION AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-366-1832",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "GA",
            "license": "052890009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Secured Medical Transport (VAN) in Athens, GA
• Providers in Athens, GA by specialty
• Secured Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.