Organization Active NPI

Legacy Transit LLC

  • Ambulance
  • Marietta, GA
National Provider Identifier
1497573034
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Oct 2, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20250312001588 GA Part B Supplier - Ambulance Service Supplier 7416478912 Practice locations: Marietta, 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
11D2313080Legacy-Transit LLC2160 Kingston Court, Marietta, GA 30067Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.