Active NPI
Guardian Angels Medical Transportation LLC
Doing business as Guardian Transport
- Ambulance
- Orangeburg, SC
National Provider Identifier
1700476058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- GUARDIAN ANGELS MEDICAL TRANSPORTATION LLC
- Doing business as
- Guardian Transport
- Practice address
- 680 Broughton St
Orangeburg, SC 29115-6637 - Phone
- (803) 497-3415
- Fax
- (803) 753-9053
- NPI assigned
- Jan 21, 2021
- 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
- Kerry L Bourgeois
- Title
- Billing Manager
- Phone
- (803) 922-4165
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
680 Broughton St
Orangeburg, SC 29115-6637
Mailing address
1695 Chestnut St
Orangeburg, SC 29115-3327
Phone (803) 497-3415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 613 | Other | SC | DHEC |
Other names 1
- Guardian Transport
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210318002315 | SC | Part B Supplier - Ambulance Service Supplier | 2264849215 | Practice locations: Orangeburg, SC |
National Provider Directory
National Provider DirectoryLocations
500 Frontage Rd
#B
Gaston, SC 29053
Phone (803) 497-3415
680 Broughton St
Orangeburg, SC 29115
Phone (803) 497-3415
1681 Chestnut St
Orangeburg, SC 29115
Phone (803) 497-3415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778457600000",
"number": "1700476058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 CHESTNUT ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291153327",
"telephone_number": "803-497-3415",
"fax_number": "803-753-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 BROUGHTON ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291156637",
"telephone_number": "803-497-3415",
"fax_number": "803-753-9053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN ANGELS MEDICAL TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-21",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A",
"authorized_official_last_name": "BOURGEOIS",
"authorized_official_first_name": "KERRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "803-922-4165"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHEC",
"identifier": "613",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Guardian Transport",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.