Organization Active NPI

Pea Transit LLC

  • Non-emergency Medical Transport (VAN)
  • Memphis, TN
National Provider Identifier
1821524935
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
076266557 Issued in TN
Legal business name
PEA TRANSIT LLC
Practice address
7623 Richwood PL
Memphis, TN 38125-3090
Phone
(901) 387-8417
NPI assigned
May 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Freddie Dillard
Title
Owner/Operator
Phone
(901) 387-8417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 076266557 TN Primary

Addresses

Primary practice location

7623 Richwood PL
Memphis, TN 38125-3090

Mailing address

7623 Richwood PL
Memphis, TN 38125-3090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1821524935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7623 RICHWOOD PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7623 RICHWOOD PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253090",
            "telephone_number": "901-387-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEA TRANSIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "FREDDIE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "901-387-8417"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TN",
            "license": "076266557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.