Organization Active NPI

E Medical Transportation Services LLC

  • Transportation Broker
  • Fayetteville, GA
National Provider Identifier
1568849032
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
E MEDICAL TRANSPORTATION SERVICES LLC
Practice address
500 Lanier Ave W Ste 908
Fayetteville, GA 30214-7641
Phone
(678) 571-7318
NPI assigned
May 4, 2015
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Tracy Pearson
Title
Owner
Phone
(678) 571-7318

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X GA
Transportation Broker 347E00000X GA Primary

Addresses

Primary practice location

500 Lanier Ave W Ste 908
Fayetteville, GA 30214-7641

Mailing address

500 Lanier Ave W Ste 908
Fayetteville, GA 30214-7641
Phone (678) 571-7318

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1568849032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W STE 908",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147641",
            "telephone_number": "678-571-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W STE 908",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147641",
            "telephone_number": "678-571-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E MEDICAL TRANSPORTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-571-7318"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.