Superior Medical Transport, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

AMB2017029 Issued in GA

Legal business name

SUPERIOR MEDICAL TRANSPORT, LLC

Practice address

1256 Oakbrook Dr Ste C
Norcross, GA 30093-2247

Phone

(678) 866-1467

Fax

(678) 325-5601

NPI assigned

Feb 4, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Foster Jacobs

Title

President

Phone

(678) 993-3824

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1710345756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2862",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300482862",
            "telephone_number": "678-993-3824",
            "fax_number": "678-325-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 OAKBROOK DR STE C",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932247",
            "telephone_number": "678-866-1467",
            "fax_number": "678-325-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1256 Oakbrook Dr",
            "address_2": "STE B",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300932247",
            "country_code": "US",
            "telephone_number": "678-203-1529",
            "fax_number": "678-325-5601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPERIOR MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "FOSTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-993-3824",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "AMB2017029",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "2016000074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.