Active NPI
MMT North Carolina, LLC
- Land Ambulance
- Arden, NC
National Provider Identifier
1689442261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- MMT NORTH CAROLINA, LLC
- Doing business as
- MedTrust
- Practice address
- 55 Bradley Branch Rd
Arden, NC 28704-9472 - Phone
- (843) 284-6331
- Fax
- (843) 974-1880
- NPI assigned
- Dec 13, 2023
- 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
- Michelle Boyd
- Title
- Director of Revenue Cycle
- Phone
- (843) 284-6331
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
55 Bradley Branch Rd
Arden, NC 28704-9472
Mailing address
1014 Bankton Cir Ste 100
Hanahan, SC 29410-2931
Phone (843) 926-0534
Other names 1
- MedTrust
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240712000892 | NC | Part B Supplier - Ambulance Service Supplier | 2264977404 | Practice locations: Arden, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2305829 | MMT North Carolina LLC | Certificate of waiver | Jun 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
55 Bradley Branch Rd
Arden, NC 28704
400 Ridgefield Ct
Ste 203
Asheville, NC 28806
1014 Bankton Cir
Ste 100
Hanahan, SC 29410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1689442261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 BANKTON CIR STE 100",
"city": "HANAHAN",
"state": "SC",
"postal_code": "294102931",
"telephone_number": "843-926-0534",
"fax_number": "843-974-1880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 BRADLEY BRANCH RD",
"city": "ARDEN",
"state": "NC",
"postal_code": "287049472",
"telephone_number": "843-284-6331",
"fax_number": "843-974-1880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MMT NORTH CAROLINA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-13",
"last_updated": "2025-01-27",
"certification_date": "2025-01-24",
"status": "A",
"authorized_official_last_name": "BOYD",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
"authorized_official_telephone_number": "843-284-6331"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MedTrust",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MedTrust",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.