Express Medical Transportation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

EXPRESS MEDICAL TRANSPORTATION

Practice address

7350 Hwy 106 South
Ste C
Hull, GA 30646

Phone

(706) 850-0572

NPI assigned

Apr 21, 2020

Last updated

Nov 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberlee Dean

Title

President

Phone

(770) 519-3633

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1760002653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MELTON RD",
            "city": "WINTERVILLE",
            "state": "GA",
            "postal_code": "306832418",
            "telephone_number": "770-519-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 HWY 106 SOUTH",
            "address_2": "STE C",
            "city": "HULL",
            "state": "GA",
            "postal_code": "30646",
            "telephone_number": "706-850-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-519-3633"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003238666A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Burton Home Care LLC
• Alison Leigh Cearley, RN
• Ansley Brooke Chambers, PHARM.D., RPH
• Patricia S Chandler, RPH
• Shaleisa Sade' Echols, CMA
• Express Medical Transportation Hartwell LLC
• Georgia CVS Pharmacy LLC (CVS Pharmacy 07782)
• Georgia Telehealth, LLC
• Naomi Haney
• Judy B Holloman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.