Supreme Motor Sportz LLC

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Legal business name

SUPREME MOTOR SPORTZ LLC

Practice address

1830 Airport Industrial Park Dr
Marietta, GA 30060-9217

Phone

(800) 750-5316

NPI assigned

Jan 4, 2024

Organization subpart

No

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

Authorized official

Name

Supreme Shands

Title

Owner

Phone

(470) 884-7343

Specialties & licenses 1

Addresses

Other names 1

• Supreme Motor Sportz LLC Doing business as

Locations

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1609646371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2897 N DRUID HILLS RD NE STE 351",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293924",
            "telephone_number": "470-884-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 AIRPORT INDUSTRIAL PARK DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609217",
            "telephone_number": "800-750-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME MOTOR SPORTZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "SHANDS",
        "authorized_official_first_name": "SUPREME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-884-7343"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supreme Motor Sportz LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Transportation Network Company in Marietta, GA
• Providers in Marietta, GA by specialty
• Transportation Network Company in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.