Organization Active NPI

Palms Medical Transport, LLC

Doing business as Palms

  • Land Ambulance
  • Byron, GA
National Provider Identifier
1790911444
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
087-04 Issued in GA
Legal business name
PALMS MEDICAL TRANSPORT, LLC
Doing business as
Palms
Practice address
102 Church St
Byron, GA 31008
Phone
(478) 654-6025
Fax
(866) 583-6316
NPI assigned
Jun 9, 2009
Last updated
Apr 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Maurice Grayson
Title
Co-Owner
Phone
(478) 654-6025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X
Land Ambulance 3416L0300X 087-04 GA Primary

Addresses

Primary practice location

102 Church St
Byron, GA 31008

Mailing address

PO Box 843
Byron, GA 31008
Phone (478) 654-6025

Other names 1

  • Palms Doing business as

National Provider Directory

National Provider Directory

Locations

601 W Hill Ave
Valdosta, GA 31601
Phone (229) 560-0669

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1790911444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "31008",
            "telephone_number": "478-654-6025",
            "fax_number": "866-583-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CHURCH ST",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "31008",
            "telephone_number": "478-654-6025",
            "fax_number": "866-583-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMS MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "478-654-6025"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "087-04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palms",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Byron, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.