Atlemisia M Anderson
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Thomasville, GA
NPI 1619216637 · NPPES record last updated Feb 11, 2013
Key facts
- NPI
- 1619216637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- License
- 453186031 (GA)
- Practice address
- 1304 E Jackson St
Thomasville, GA 31792-4749 - Phone
- (229) 379-1007
- Fax
- (229) 236-0356
- NPI assigned
- Feb 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 453186031 | GA | MD | Non-emergency Medical Transport (VAN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomasville Brokerage | Non-Emergency Medical Transport (Van) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 453186031 | GA | Yes |
Addresses
Primary practice location
1304 E Jackson St
Thomasville, GA 31792-4749
Mailing address
213 Palm Island Dr
Thomasville, GA 31757-4036
Phone (229) 379-1007
Other providers in Thomasville, GA
- Abhishek Amin
- Robby B Amin
- Amy M. Stephens, O.D., P.a.
- Anaya Patel LLC
- Kenneth Daniel Anders
- Rachel Anderson
- Talia Montoya Anderson
- George Andrews
- Robert Anello
- Ankle & Foot Specialist
All providers in Thomasville, GA · Non-emergency Medical Transport (VAN) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.