Organization Active NPI

Jet3-Trans, LLC

  • Non-emergency Medical Transport (VAN)
  • Atlanta, GA
National Provider Identifier
1629355714
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
1501017292 Issued in GA
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

Updated by the provider on Nov 3, 2011

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.