Organization Active NPI

Van Dorn's Medical Transport, LLC

  • Non-emergency Medical Transport (VAN)
  • Jonesboro, GA
National Provider Identifier
1578951877
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
VAN DORN'S MEDICAL TRANSPORT, LLC
Practice address
2007 Pine Forest CT
Jonesboro, GA 30236-5417
Phone
(404) 826-3676
NPI assigned
Jan 8, 2015
Last updated
Feb 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Authorized official

Name
Mrs. Terri T Van Dorn, ACNP-C
Title
Owner
Phone
(404) 826-3676

Specialties & licenses 1

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

Addresses

Primary practice location

2007 Pine Forest CT
Jonesboro, GA 30236-5417

Mailing address

2007 Pine Forest CT
Jonesboro, GA 30236-5417
Phone (404) 826-3676

Other names 1

  • VanDorn's Medical Transport, LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1578951877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 PINE FOREST CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365417",
            "telephone_number": "404-826-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 PINE FOREST CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365417",
            "telephone_number": "404-826-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN DORN'S MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "VAN DORN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-826-3676",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ACNP-C"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VanDorn's Medical Transport, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jonesboro, GA

Sources for this page

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