Organization Active NPI

TDB Community Transport

  • Non-emergency Medical Transport (VAN)
  • Jefferson, GA
National Provider Identifier
1790475317
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
TDB COMMUNITY TRANSPORT
Doing business as
TDB Community Transport
Practice address
2012 Lantern Dr
Jefferson, GA 30549-6995
Phone
(404) 210-8681
NPI assigned
May 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Mrs. Tammy Bogan, NEMT
Title
Authorize Official
Phone
(404) 210-8681

Specialties & licenses 1

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

Addresses

Primary practice location

2012 Lantern Dr
Jefferson, GA 30549-6995

Mailing address

2012 Lantern Dr
Jefferson, GA 30549-6995
Phone (404) 210-8681

Other names 1

  • TDB Community Transport Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1790475317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 LANTERN DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305496995",
            "telephone_number": "404-210-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 LANTERN DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305496995",
            "telephone_number": "404-210-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDB COMMUNITY TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "BOGAN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "AUTHORIZE OFFICIAL",
        "authorized_official_telephone_number": "404-210-8681",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NEMT"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TDB Community Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.