Active NPI
Vital Link Transport LLC
- Land Ambulance
- Forest Park, GA
National Provider Identifier
1487011185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160610000056 | GA | Part B Supplier - Ambulance Service Supplier | 9032409610 | Practice locations: Forest Park, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2197598 | Vital Link Transport LLC | Certificate of waiver | Oct 25, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.