Organization Active NPI

Patriots Medical Transport LLC

  • Land Ambulance
  • Covington, GA
National Provider Identifier
1629966791
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PATRIOTS MEDICAL TRANSPORT LLC
Practice address
3236 Highway 278
Covington, GA 30014-2402
Phone
(678) 371-2135
NPI assigned
Jun 26, 2025
Last updated
Oct 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Gary BowenNPI 1538965587
Title
Owner
Phone
(678) 371-2135

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)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

3236 Highway 278
Covington, GA 30014-2402

Mailing address

3236 Highway 278
Covington, GA 30014-2402
Phone (678) 371-2135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250922003635 GA Part B Supplier - Ambulance Service Supplier 4385149392 Practice locations: Covington, GA

National Provider Directory

National Provider Directory

Locations

3236 Highway 278
Covington, GA 30014
Phone (678) 371-2135

3236 Highway 278 NE
Ste E
Covington, GA 30014
Phone (678) 371-2135

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1629966791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 HIGHWAY 278",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142402",
            "telephone_number": "678-371-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 HIGHWAY 278",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142402",
            "telephone_number": "678-371-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOTS MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-371-2135"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.