Active NPI
Lifepointe Medical Transport, LLC
- Land Ambulance
- Gray, GA
National Provider Identifier
1679983555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2014
- 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. Charles Alexander Kemp II, M.B.A.
- Title
- Owner
- Phone
- (229) 402-1411
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Jechell Lary-Waller, PMHNP
- Armeshia Brenae Lawrence, PMHNP-BC
- LBWC Companions and Sitter Services
- Jennifer Nicole Barron Lee, MSN, APRN, FNP-C
- Lifepointe Medical Transport LLC
- Loving Because We Care Case Management Services LLC
- Alaynah Luttrull, LMT
- Lynn Haven Nursing Home LLC (Lynn Haven Health and Rehabilitation)
- Macon Orthopaedic & Hand Center, PA (OrthoGeorgia)
- Albert H McGalliard, RPH
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.