Core Care Medical Transport, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CORE CARE MEDICAL TRANSPORT, LLC

Practice address

1316 Lakewood Ave SE # G-4
Atlanta, GA 30315-2313

Phone

(678) 372-1493

Fax

(770) 776-9956

NPI assigned

Jan 15, 2018

Organization subpart

No

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

Authorized official

Name

Victoria Meadows

Title

Owner

Phone

(770) 776-9956

Specialties & licenses 1

Addresses

Other names 1

• Core Care Medical Transport Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1578071395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 WELLINGTON DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317211549",
            "telephone_number": "678-372-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 LAKEWOOD AVE SE # G-4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303152313",
            "telephone_number": "678-372-1493",
            "fax_number": "770-776-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CARE MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-776-9956"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Care Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.