Active NPI
Palms Medical Transport, LLC
Doing business as Palms
- Land Ambulance
- Byron, GA
National Provider Identifier
1790911444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 087-04
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.