Madison Transport LLC

Primary specialty

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

Legal business name

MADISON TRANSPORT LLC

Practice address

519 Petty St
South Prince George, VA 23805-9329

Phone

(804) 605-1068

NPI assigned

Apr 12, 2019

Last updated

Apr 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul MayesNPI 1003374091

Title

Manager/Owner

Phone

(804) 605-1068

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Mayes

  • Non-emergency Medical Transport (VAN)
  • Petersburg, VA
  • NPI 1003374091
  NPD (past) Authorized official

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1811450141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 PETTY ST",
            "city": "SOUTH PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238059329",
            "telephone_number": "804-605-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 PETTY ST",
            "city": "SOUTH PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238059329",
            "telephone_number": "804-605-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "804-605-1068"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in South Prince George, VA
• Providers in South Prince George, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.