Organization Active NPI

Golden Wings Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Mooresboro, NC
National Provider Identifier
1780458729
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GOLDEN WINGS TRANSPORTATION LLC
Practice address
434 Gantts Grove Church Rd
Mooresboro, NC 28114-9612
Phone
(704) 419-9829
NPI assigned
Nov 9, 2023
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Marik Lipscomb
Title
Owner
Phone
(704) 419-9829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

434 Gantts Grove Church Rd
Mooresboro, NC 28114-9612

Mailing address

434 Gantts Grove Church Rd
Mooresboro, NC 28114-9612
Phone (704) 419-9829

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1780458729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 GANTTS GROVE CHURCH RD",
            "city": "MOORESBORO",
            "state": "NC",
            "postal_code": "281149612",
            "telephone_number": "704-419-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 GANTTS GROVE CHURCH RD",
            "city": "MOORESBORO",
            "state": "NC",
            "postal_code": "281149612",
            "telephone_number": "704-419-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN WINGS TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "LIPSCOMB",
        "authorized_official_first_name": "MARIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-419-9829"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.