NPIMap

Organization Active NPI

Outreach Transportation Service

  • Non-emergency Medical Transport (VAN)
  • Lithia Springs, GA
National Provider Identifier
1487038873
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
15-00011334 Issued in GA
Legal business name
OUTREACH TRANSPORTATION SERVICE
Practice address
945 Crestmark Blvd Apt 329
Lithia Springs, GA 30122-2628
Phone
(770) 572-5336
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Mrs. Ronetta Anne Wilson
Title
Owner
Phone
(770) 572-5336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 15-00011334 GA Primary

Addresses

Primary practice location

945 Crestmark Blvd Apt 329
Lithia Springs, GA 30122-2628

Mailing address

945 Crestmark Blvd Apt 329
Lithia Springs, GA 30122-2628
Phone (770) 572-5336

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1487038873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 CRESTMARK BLVD APT 329",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222628",
            "telephone_number": "770-572-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 CRESTMARK BLVD APT 329",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222628",
            "telephone_number": "770-572-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH TRANSPORTATION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RONETTA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-572-5336",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "15-00011334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.