Organization Active NPI

TDB Community Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Jefferson, GA
National Provider Identifier
1811787336
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
TDB COMMUNITY TRANSPORT LLC
Practice address
2012 Lantern Dr
Jefferson, GA 30549-6995
Phone
(706) 362-0801
Fax
(770) 601-1742
NPI assigned
May 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Tammy BoganNPI 1952090698
Title
Manager
Phone
(706) 362-0801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

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 # 74
Jefferson, GA 30549-6995
Phone (706) 362-0801

Other names 1

  • TDB Community Transport LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1811787336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 LANTERN DR # 74",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305496995",
            "telephone_number": "706-362-0801",
            "fax_number": "770-601-1742"
        },
        {
            "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": "706-362-0801",
            "fax_number": "770-601-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDB COMMUNITY TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "BOGAN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "706-362-0801"
    },
    "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 LLC",
            "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 28, 2025; 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.