Active NPI
Van Dorn's Medical Transport, LLC
- Non-emergency Medical Transport (VAN)
- Jonesboro, GA
National Provider Identifier
1578951877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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, 2015
- 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
- Mrs. Terri T Van Dorn, ACNP-C
- Title
- Owner
- Phone
- (404) 826-3676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.