Polaris Mobility, Inc.

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

POLARIS MOBILITY, INC.

Practice address

2184 Park Ave SE
Smyrna, GA 30080-6946

Phone

(404) 428-5266

NPI assigned

Dec 2, 2019

Organization subpart

No

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

Authorized official

Name

Jeffrey John Gantt

Title

Ceo

Phone

(404) 428-5266

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1669019352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 PARK AVE SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806946",
            "telephone_number": "404-428-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2184 PARK AVE SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806946",
            "telephone_number": "404-428-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "GANTT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-428-5266"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Transportation Broker in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Transportation Broker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.