Organization Active NPI

Vital Link Transport LLC

  • Land Ambulance
  • Forest Park, GA
National Provider Identifier
1487011185
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
VITAL LINK TRANSPORT LLC
Practice address
4914 Courtney Dr
Forest Park, GA 30297-1428
Phone
(404) 500-1039
Fax
(404) 500-1923
NPI assigned
Jan 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Mr. Effren Bigham
Title
President
Phone
(404) 397-9171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

4914 Courtney Dr
Forest Park, GA 30297-1428

Mailing address

4914 Courtney Dr
Forest Park, GA 30297-1428
Phone (404) 500-1039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160610000056 GA Part B Supplier - Ambulance Service Supplier 9032409610 Practice locations: Forest Park, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2197598Vital Link Transport LLC4914 Courtney Drive, Forest Park, GA 30297Certificate of waiverOct 25, 2026

National Provider Directory

National Provider Directory

Locations

5246 Jones Rd
Ste C
Forest Park, GA 30297
Phone (404) 500-1039

5246 Jones Rd
Forest Park, GA 30297
Phone (404) 500-1039

4914 Courtney Dr
Forest Park, GA 30297
Phone (404) 500-1039

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1487011185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 COURTNEY DR",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971428",
            "telephone_number": "404-500-1039",
            "fax_number": "404-500-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 COURTNEY DR",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971428",
            "telephone_number": "404-500-1039",
            "fax_number": "404-500-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL LINK TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "BIGHAM",
        "authorized_official_first_name": "EFFREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-397-9171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.