A&E Group

Primary specialty

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

License

1300068788 Issued in GA

Legal business name

A&E GROUP

Practice address

530 Fort St NE
Marietta, GA 30060-1706

Phone

(985) 607-4158

NPI assigned

Oct 4, 2013

Last updated

Oct 4, 2013By 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

Alvinn Kinnebrew

Title

Ceo

Phone

(985) 607-4158

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1770910747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 FORT ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601706",
            "telephone_number": "985-607-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 FORT ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601706",
            "telephone_number": "985-607-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&E GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "KINNEBREW",
        "authorized_official_first_name": "ALVINN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-607-4158"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "1300068788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000200100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000500100",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Marietta, GA
• Providers in Marietta, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.