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
- Last updated
- 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
Marietta, GA 30067
Phone (404) 509-6711
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.