Active NPI
Empire Marathon Logistics
- Non-emergency Medical Transport (VAN)
- Dublin, GA
National Provider Identifier
1669234357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- EMPIRE MARATHON LOGISTICS
- Practice address
- 1077 Blackshear Ferry Rd W
Dublin, GA 31021-3252 - Phone
- (478) 488-7057
- NPI assigned
- Jan 29, 2024
- Last updated
- Jan 29, 2024
- 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. Jonathan Maurice Brazil
- Title
- Manager
- Phone
- (478) 488-7057
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
1077 Blackshear Ferry Rd W
Dublin, GA 31021-3252
Mailing address
1077 Blackshear Ferry Rd W
Dublin, GA 31021-3252
Phone (478) 488-7057
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706486400000",
"number": "1669234357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1077 BLACKSHEAR FERRY RD W",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310213252",
"telephone_number": "478-488-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 BLACKSHEAR FERRY RD W",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310213252",
"telephone_number": "478-488-7057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPIRE MARATHON LOGISTICS",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-29",
"last_updated": "2024-01-29",
"certification_date": "2024-01-27",
"status": "A",
"authorized_official_last_name": "BRAZIL",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "MAURICE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "478-488-7057",
"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 Dublin, GA
- Amanda Ellenberg
- Shequitta Jameretta Ellington, CNA
- Justin J Ellison, NP
- Emerald Behavioral and Hypnosis Services
- Emerald Behavioral Health Services
- Empowerme Rehabilitation, LLC
- Shundra Maria English, CCC-SLP
- Envisioning Hope Counseling Services LLC
- Erin Nursing LLC (Southland Healthcare & Rehab. Center)
- Cari Evans, M.ED. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.