Organization Active NPI

Med-Ride LLC

  • Non-emergency Medical Transport (VAN)
  • Milledgeville, GA
National Provider Identifier
1629623137
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MED-RIDE LLC
Practice address
1130 N Wayne St Apt C
Milledgeville, GA 31061-7535
Phone
(678) 221-7654
NPI assigned
Aug 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Mr. John Walter Harden
Title
Member
Phone
(678) 221-7565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1130 N Wayne St Apt C
Milledgeville, GA 31061-7535

Mailing address

1130 N Wayne St Apt C
Milledgeville, GA 31061-7535
Phone (678) 221-7654

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1629623137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N WAYNE ST APT C",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617535",
            "telephone_number": "678-221-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N WAYNE ST APT C",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617535",
            "telephone_number": "678-221-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-RIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "678-221-7565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.