Eseryt Care Trans, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ESERYT CARE TRANS, LLC

Practice address

2154 Stone Mountain Lithonia Rd Ste a
Lithonia, GA 30058-5251

Phone

(470) 545-0725

NPI assigned

Jan 18, 2017

Organization subpart

No

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

Authorized official

Name

Royan GayNPI 1568908358

Title

President

Phone

(678) 920-3171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Royan Gay

  • Ambulance
  • Decatur, GA
  • NPI 1568908358
  NPD Authorized official

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1689110371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 811",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300850811",
            "telephone_number": "470-545-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 STONE MOUNTAIN LITHONIA RD STE A",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585251",
            "telephone_number": "470-545-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESERYT CARE TRANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "ROYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-920-3171"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.