Active NPI
Jet3-Trans, LLC
- Non-emergency Medical Transport (VAN)
- Atlanta, GA
National Provider Identifier
1629355714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 1501017292
- Legal business name
- JET3-TRANS, LLC
- Doing business as
- JET3
- Practice address
- 3201 Atlanta Industrial Pkwy NW
204
Atlanta, GA 30331-1045 - Phone
- (678) 744-5383
- NPI assigned
- Nov 3, 2011
- 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
- Jerrimica L Moore
- Title
- Owner
- Phone
- (205) 587-9225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 1501017292 | GA | Primary |
Addresses
Primary practice location
3201 Atlanta Industrial Pkwy NW
204
Atlanta, GA 30331-1045
Mailing address
165 Lost Cove Dr SW
Atlanta, GA 30331-7535
Phone (205) 587-9225
Other names 1
- JET3
National Provider Directory
National Provider DirectoryLocations
3201 Atlanta Industrial Pkwy NW
Ste 204
Atlanta, GA 30331
Phone (678) 744-5383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320278400000",
"number": "1629355714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 LOST COVE DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303317535",
"telephone_number": "205-587-9225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 ATLANTA INDUSTRIAL PKWY NW",
"address_2": "204",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303311045",
"telephone_number": "678-744-5383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JET3-TRANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-03",
"last_updated": "2011-11-03",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JERRIMICA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-587-9225"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "GA",
"license": "1501017292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JET3",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.