Active NPI
Mattie Care Reliable Non Emergency Medical Transportation
- Non-emergency Medical Transport (VAN)
- Rome, GA
National Provider Identifier
1629759196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- MATTIE CARE RELIABLE NON EMERGENCY MEDICAL TRANSPORTATION
- Doing business as
- MICHELLE PERDUE
- Practice address
- 8B Coker Dr SW
Rome, GA 30165-3449 - Phone
- (706) 584-7575
- NPI assigned
- Jul 27, 2023
- 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
- Michelle Shuntae Perdue
- Title
- Owner
- Phone
- (706) 409-2019
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
8B Coker Dr SW
Rome, GA 30165-3449
Mailing address
8B Coker Dr SW
Rome, GA 30165-3449
Phone (706) 584-7575
Other names 1
- MICHELLE PERDUE
National Provider Directory
National Provider Directory- Tax ID family
- Mattie Care Nemt LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Rome, GA
- NPI 1891566949
Locations
8 Coker Dr SW
#B
Rome, GA 30165
Phone (706) 584-7575
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Personal Care Attendant
- Rome, GA
- NPI 1770194458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690416000000",
"number": "1629759196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8B COKER DR SW",
"city": "ROME",
"state": "GA",
"postal_code": "301653449",
"telephone_number": "706-584-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8B COKER DR SW",
"city": "ROME",
"state": "GA",
"postal_code": "301653449",
"telephone_number": "706-584-7575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTIE CARE RELIABLE NON EMERGENCY MEDICAL TRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A",
"authorized_official_last_name": "PERDUE",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "SHUNTAE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-409-2019"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MICHELLE PERDUE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.