Organization Active NPI

Guardian Angels Medical Transportation LLC

Doing business as Guardian Transport

  • Ambulance
  • Orangeburg, SC
National Provider Identifier
1700476058
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on May 11, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
613OtherSCDHEC

Other names 1

  • Guardian Transport Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210318002315 SC Part B Supplier - Ambulance Service Supplier 2264849215 Practice locations: Orangeburg, SC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.