Piper Medical Transport, LLC

Primary specialty

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

License

MCA606804 Issued in GA

Legal business name

PIPER MEDICAL TRANSPORT, LLC

Practice address

2793 Highway 82 S
Jefferson, GA 30549-5104

Phone

(678) 997-1142

Fax

(706) 367-9753

NPI assigned

Apr 7, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy Michael Sisk

Title

President

Phone

(678) 997-1142

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1333756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333756800000",
    "number": "1790041366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2793 HIGHWAY 82 S",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305495104",
            "telephone_number": "678-997-1142",
            "fax_number": "706-367-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 HIGHWAY 82 S",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305495104",
            "telephone_number": "678-997-1142",
            "fax_number": "706-367-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIPER MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-07",
        "last_updated": "2012-04-07",
        "status": "A",
        "authorized_official_last_name": "SISK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-997-1142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "MCA606804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Jefferson, GA
• Providers in Jefferson, 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 Apr 7, 2012; 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.