Organization Active NPI

Atlantic Medical Transports LLC

  • Non-emergency Medical Transport (VAN)
  • Jesup, GA
National Provider Identifier
1790487148
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ATLANTIC MEDICAL TRANSPORTS LLC
Practice address
1907 Sunset Blvd Ste C
Jesup, GA 31545-7813
Phone
(912) 916-9993
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Vladislav Petroff
Title
Owner/Operator
Phone
(912) 916-9993

Specialties & licenses 1

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

Addresses

Primary practice location

1907 Sunset Blvd Ste C
Jesup, GA 31545-7813

Mailing address

1907 Sunset Blvd Ste C
Jesup, GA 31545-7813
Phone (912) 916-9993

National Provider Directory

National Provider Directory

Locations

1907 Sunset Blvd
Ste C
Jesup, GA 31545
Phone (912) 916-9993

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1790487148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 SUNSET BLVD STE C",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315457813",
            "telephone_number": "912-916-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 SUNSET BLVD STE C",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315457813",
            "telephone_number": "912-916-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC MEDICAL TRANSPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "PETROFF",
        "authorized_official_first_name": "VLADISLAV",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "912-916-9993"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.