Active NPI
Securemed Transport LLC
- Non-emergency Medical Transport (VAN)
- Lawrenceville, GA
National Provider Identifier
1659063063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- SECUREMED TRANSPORT LLC
- Practice address
- 113 S Perry St Ste 206
Lawrenceville, GA 30046-4811 - Phone
- (706) 594-5479
- NPI assigned
- May 24, 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
- Mr. Terrance Banks
- Title
- Ceo
- Phone
- (706) 594-5479
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
113 S Perry St Ste 206
Lawrenceville, GA 30046-4811
Mailing address
113 S Perry St Ste 206
Lawrenceville, GA 30046-4811
Phone (706) 594-3736
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686182400000",
"number": "1659063063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 S PERRY ST STE 206",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464811",
"telephone_number": "706-594-3736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 S PERRY ST STE 206",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300464811",
"telephone_number": "706-594-5479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECUREMED TRANSPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-24",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A",
"authorized_official_last_name": "BANKS",
"authorized_official_first_name": "TERRANCE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "706-594-5479",
"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 Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.