Shield Care Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

SHIELD CARE TRANSPORT LLC

Practice address

616 Dyer Dr
Locust Grove, GA 30248-2350

Phone

(770) 268-9889

NPI assigned

Mar 12, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Cliford CharlesNPI 1346982766

Title

Ceo/Director

Phone

(770) 268-9889

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cliford Charles

  • Basic Emergency Medical Technician
  • Locust Grove, GA
  • NPI 1346982766

  Emergency Medical Technician, Basic

  NPD Authorized official

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1679331805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 DYER DR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482350",
            "telephone_number": "770-268-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 DYER DR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482350",
            "telephone_number": "770-268-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELD CARE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "CLIFORD",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "770-268-9889",
        "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": []
}

• Chaunta Wade Shannon
• Chetan Sharma, M.D.
• Khani J Shaw
• Annie Felecia Sheets
• Diana Shekoury, OD
• Jamie Shuler
• Sharon Gail Singley
• Sitm Transportation
• Smile Parlor LLC
• Carla Spyies Smiley, AU.D., CCC-A

• Non-emergency Medical Transport (VAN) in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.