Active NPI
Legacy Transit LLC
- Ambulance
- Marietta, GA
National Provider Identifier
1497573034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- LEGACY TRANSIT LLC
- Practice address
- 2160 Kingston CT SE
Marietta, GA 30067-8951 - Phone
- (470) 641-3844
- NPI assigned
- Oct 2, 2024
- 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
- Alex James Williams Jr.
- Title
- Manager / Operations Supervisor
- Phone
- (470) 641-3844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
2160 Kingston CT SE
Marietta, GA 30067-8951
Mailing address
4330 Oglethorpe Loop NW
Acworth, GA 30101-9533
Phone (470) 641-3844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250312001588 | GA | Part B Supplier - Ambulance Service Supplier | 7416478912 | Practice locations: Marietta, 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 |
|---|---|---|---|
| 11D2313080 | Legacy-Transit LLC | Certificate of waiver | Oct 23, 2026 |
National Provider Directory
National Provider DirectoryLocations
2160 Kingston Ct SE
Ste M3
Marietta, GA 30067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727827200000",
"number": "1497573034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 OGLETHORPE LOOP NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301019533",
"telephone_number": "470-641-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 KINGSTON CT SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678951",
"telephone_number": "470-641-3844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY TRANSIT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-02",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ALEX",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "MANAGER / OPERATIONS SUPERVISOR",
"authorized_official_telephone_number": "470-641-3844",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.