Southern Saferide Transportation

Primary specialty

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

Legal business name

SOUTHERN SAFERIDE TRANSPORTATION

Practice address

309 HR Watts Road
Sumrall, MS 39482

Phone

(601) 596-3382

NPI assigned

Mar 21, 2019

Organization subpart

No

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

Authorized official

Name

Tyras Watts

Title

Owner

Phone

(601) 596-3382

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1891255295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 HR WATTS ROAD",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "39482",
            "telephone_number": "601-596-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 HR WATTS ROAD",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "39482",
            "telephone_number": "601-596-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SAFERIDE TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "TYRAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-596-3382"
    },
    "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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• Sarah Alyssa Smith, FNP-C
• South Mississippi Emergency Physicians,PA
• Austin Laroy Stringer, PT
• Sarah Stroud, MS, RD, LD
• Sumrall Drug Store LLC (Sumrall Drug Store)
• Sumrall Drug Store LLC (Sumrall Drug Store Long Term Care)
• Sumrall Elementary School

• Non-emergency Medical Transport (VAN) in Sumrall, MS
• Providers in Sumrall, MS by specialty
• Non-emergency Medical Transport (VAN) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.