Organization Active NPI

Lifepointe Medical Transport, LLC

  • Land Ambulance
  • Gray, GA
National Provider Identifier
1679983555
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
LIFEPOINTE MEDICAL TRANSPORT, LLC
Practice address
315 Pecan LN
Gray, GA 31032-5330
Phone
(229) 402-1411
Fax
(478) 216-2015
NPI assigned
May 1, 2014
Last updated
May 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Mr. Charles Alexander Kemp II, M.B.A.
Title
Owner
Phone
(229) 402-1411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary
Non-emergency Medical Transport (VAN) 343900000X NU

Addresses

Primary practice location

315 Pecan LN
Gray, GA 31032-5330

Mailing address

PO Box 1654
Gray, GA 31032-1654
Phone (229) 402-1411

National Provider Directory

National Provider Directory

Locations

315 Pecan Ln
Gray, GA 31032
Phone (229) 402-1411

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1679983555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1654",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310321654",
            "telephone_number": "229-402-1411",
            "fax_number": "478-216-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 PECAN LN",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310325330",
            "telephone_number": "229-402-1411",
            "fax_number": "478-216-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPOINTE MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-402-1411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.