Georgia Professional Care Services, LLC

Primary specialty

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

Legal business name

GEORGIA PROFESSIONAL CARE SERVICES, LLC

Practice address

4031 Sweetwater Pkwy
Ellenwood, GA 30294-1576

Phone

(678) 698-0112

NPI assigned

Dec 1, 2016

Organization subpart

No

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

Authorized official

Name

Tiawon Dowling

Title

President

Phone

(678) 698-0112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1780127290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 SWEETWATER PKWY",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941576",
            "telephone_number": "678-698-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 SWEETWATER PKWY",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941576",
            "telephone_number": "678-698-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PROFESSIONAL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "DOWLING",
        "authorized_official_first_name": "TIAWON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-698-0112"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Ellenwood, GA
• Providers in Ellenwood, 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 Dec 1, 2016; 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.