Glory Brothers Transport LLLP

Primary specialty

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

Legal business name

GLORY BROTHERS TRANSPORT LLLP

Practice address

3470 University Ave Ste 4
Columbus, GA 31907-7254

Phone

(800) 716-2613

NPI assigned

Oct 25, 2022

Organization subpart

No

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

Authorized official

Name

Courtland DixonNPI 1467230375

Title

Ceo

Phone

(762) 258-1680

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtland Cortez Dixon

  • Contractor
  • Columbus, GA
  • NPI 1467230375
  NPD Authorized official

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1790402220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 UNIVERSITY AVE STE 4",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319077254",
            "telephone_number": "800-716-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 UNIVERSITY AVE STE 4",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319077254",
            "telephone_number": "800-716-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY BROTHERS TRANSPORT LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "COURTLAND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "762-258-1680"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dispatch@glorybrostrans.com",
            "affiliation": "N",
            "endpointDescription": "Confidential information is sent through secure messaging",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "address_1": "3470 University Ave Ste 4",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319077254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dana P Glass, LCSW
• Khalil Xavier Glee
• Glenn E. Fussell
• Shanika Nicole Glenn
• Glojoseli Inc
• Glory Hospice & Palliative Care Company
• Melissa Lynn Glover
• Petra S Glover, NP-C
• Waytika Glover
• David Michael Gloystein, M.D.

• Non-emergency Medical Transport (VAN) in Columbus, GA
• Providers in Columbus, 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 25, 2022; 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.