Abdifatah Ahmed

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

099323272 Issued in TN

Practice address

2929 Old Franklin Rd # F502
Antioch, TN 37013-3198

Phone

(678) 469-3254

NPI assigned

Aug 16, 2018

Last updated

Aug 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pave Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Antioch, TN
  • NPI 1154886000
  NPD Authorized official

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1710467931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 OLD FRANKLIN RD # F502",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133198",
            "telephone_number": "678-469-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 OLD FRANKLIN RD # F502",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133198",
            "telephone_number": "678-469-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ABDIFATAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "099323272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamelmal S Admassie
• Afa Care Transport Inc
• Ag Transportation
• Mary Ageeb
• Aharrisdental
• Theppanya Alex Akhom, PHARMD
• Emmanuel Omotayo Akinyele, FNP-BC
• Emmanuela Akogu, RN
• Ali Al-Kanani
• Chekanda Alexander, LMT, MMP

• Non-emergency Medical Transport (VAN) in Antioch, TN
• Providers in Antioch, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.