Southern Alternative Transportation LLC

Primary specialty

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

License

7725 Issued in SC

Legal business name

SOUTHERN ALTERNATIVE TRANSPORTATION LLC

Practice address

5877 Charleston Hywy
Bowman, SC 29018

Phone

(803) 829-3433

Fax

(803) 829-2794

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Wilson Pendarvis III

Title

Co Owner Director

Phone

(803) 829-3433

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750474359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5877 CHARLESTON HYWY",
            "city": "BOWMAN",
            "state": "SC",
            "postal_code": "29018",
            "telephone_number": "803-829-3433",
            "fax_number": "803-829-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5877 CHARLESTON HYWY",
            "city": "BOWMAN",
            "state": "SC",
            "postal_code": "29018",
            "telephone_number": "803-829-3433",
            "fax_number": "803-829-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ALTERNATIVE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENDARVIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "CO OWNER  DIRECTOR",
        "authorized_official_telephone_number": "803-829-3433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SC",
            "license": "7725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC OFFICE OF REGULATORY",
            "identifier": "7725",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pendarvis Enterprise LLC
• Anna Brunson Price, MD
• Randy B Boland
• Shalanda Shuler
• Gabrielle Smith, SLPA
• Jessica Steedly
• Mark Steven Walter, PD

• Non-emergency Medical Transport (VAN) in Bowman, SC
• Providers in Bowman, SC by specialty
• Non-emergency Medical Transport (VAN) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.