Organization Active NPI

Heart of Georgia Medical Transport LLC

  • Ambulance
  • Macon, GA
National Provider Identifier
1669719266
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
011-05 Issued in GA
Legal business name
HEART OF GEORGIA MEDICAL TRANSPORT LLC
Practice address
2014 Riverside Dr.
Suite 2F
Macon, GA 31204-2055
Phone
(478) 960-1067
NPI assigned
Jan 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Kevin Wilson, EMT-I
Title
Registered Agent
Phone
(478) 335-1817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 011-05 GA Primary

Addresses

Primary practice location

2014 Riverside Dr.
Suite 2F
Macon, GA 31204-2055

Mailing address

PO Box 5623
Macon, GA 31208-5623
Phone (478) 960-1067

National Provider Directory

National Provider Directory

Locations

2014 Riverside Dr
Ste 2F
Macon, GA 31204
Phone (478) 960-1067

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1669719266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5623",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312085623",
            "telephone_number": "478-960-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 RIVERSIDE DR.",
            "address_2": "SUITE 2F",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042055",
            "telephone_number": "478-960-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF GEORGIA MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "478-335-1817",
        "authorized_official_credential": "EMT-I"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "011-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.