Organization Active NPI

Prime Care Transportation Provider Corporation

  • Non-emergency Medical Transport (VAN)
  • Atlanta, GA
National Provider Identifier
1538937560
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PRIME CARE TRANSPORTATION PROVIDER CORPORATION
Practice address
5847 Jamerson Dr
Atlanta, GA 30349-7018
Phone
(917) 332-6008
NPI assigned
Dec 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Leonard Gordon
Title
President
Phone
(470) 850-0488

Specialties & licenses 1

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

Addresses

Primary practice location

5847 Jamerson Dr
Atlanta, GA 30349-7018

Mailing address

5847 Jamerson Dr
Atlanta, GA 30349-7018
Phone (917) 332-6008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1538937560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 JAMERSON DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303497018",
            "telephone_number": "917-332-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 JAMERSON DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303497018",
            "telephone_number": "917-332-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE TRANSPORTATION PROVIDER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "470-850-0488"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.