Organization Active NPI

Securemed Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Lawrenceville, GA
National Provider Identifier
1659063063
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Jun 8, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.