Individual provider Active NPI

James Brignolle

  • Non-emergency Medical Transport (VAN)
  • McDonough, GA
National Provider Identifier
1881081313
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
A002498 Issued in GA
Practice address
821 Pavilion CT
Suite B
McDonough, GA 30253-5222
Phone
(404) 399-5836
Fax
(404) 891-1827
NPI assigned
Apr 22, 2015
Last updated
Apr 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X A002498 GA Primary

Addresses

Primary practice location

821 Pavilion CT
Suite B
McDonough, GA 30253-5222

Mailing address

1044 Field View Dr
McDonough, GA 30253-9021
Phone (862) 224-0967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A002498GAMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Home Care Services LLC Current Accepting new patients
Carelinks Medical Supplies LLC Current Accepting new patients
Living Spring Adult Day Care & Support Services LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1881081313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 FIELD VIEW DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539021",
            "telephone_number": "862-224-0967",
            "fax_number": "404-891-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 PAVILION CT",
            "address_2": "SUITE B",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535222",
            "telephone_number": "404-399-5836",
            "fax_number": "404-891-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGNOLLE",
        "first_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "A002498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.