NPIMap

Organization Active NPI

Veterans Medical Transport

  • Land Ambulance
  • Morrow, GA
National Provider Identifier
1528386182
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
VETERANS MEDICAL TRANSPORT
Practice address
7184 Southlake Pkwy
Suite B
Morrow, GA 30260-4177
Phone
(404) 988-2571
NPI assigned
May 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Mr. Mohamud Farah
Title
Owner
Phone
(404) 988-2571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X GA Primary

Addresses

Primary practice location

7184 Southlake Pkwy
Suite B
Morrow, GA 30260-4177

Mailing address

7184 Southlake Pkwy
Suite B
Morrow, GA 30260-4177
Phone (404) 988-2571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100923000156 GA Part B Supplier - Ambulance Service Supplier 0840316279 Practice locations: Fayetteville, GA

National Provider Directory

National Provider Directory

Locations

175 Walter Way
#A
Fayetteville, GA 30214
Phone (678) 545-3083

7184 Southlake Pkwy
Ste B
Morrow, GA 30260
Phone (404) 988-2571

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1528386182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7184 SOUTHLAKE PKWY",
            "address_2": "SUITE B",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604177",
            "telephone_number": "404-988-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7184 SOUTHLAKE PKWY",
            "address_2": "SUITE B",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604177",
            "telephone_number": "404-988-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "MOHAMUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-988-2571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.