Active NPI
KWK Freight Enterprise
- Non-emergency Medical Transport (VAN)
- Savannah, GA
National Provider Identifier
1548034986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- KWK FREIGHT ENTERPRISE
- Practice address
- 124 Overland TRL
Savannah, GA 31419-9689 - Phone
- (912) 572-7209
- NPI assigned
- Nov 7, 2023
- 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
- Dyonna Golson
- Title
- Ceo
- Phone
- (912) 572-7209
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
124 Overland TRL
Savannah, GA 31419-9689
Mailing address
505 Harris Trail Rd Apt 27a
Richmond Hill, GA 31324-4249
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699315200000",
"number": "1548034986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 HARRIS TRAIL RD APT 27A",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313244249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 OVERLAND TRL",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314199689",
"telephone_number": "912-572-7209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KWK FREIGHT ENTERPRISE",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-07",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A",
"authorized_official_last_name": "GOLSON",
"authorized_official_first_name": "DYONNA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "912-572-7209"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.