Organization Active NPI

Star Treatment Transportation LLC

  • Transportation Broker
  • Fayetteville, GA
National Provider Identifier
1902207186
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
STAR TREATMENT TRANSPORTATION LLC
Practice address
165 Commerce Dr Ste B
Fayetteville, GA 30214-1376
Phone
(770) 719-2500
Fax
(770) 719-2555
NPI assigned
Sep 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Mr. Melvin Morris
Title
Chief Executive Officer
Phone
(404) 914-0655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X GA Primary

Addresses

Primary practice location

165 Commerce Dr Ste B
Fayetteville, GA 30214-1376

Mailing address

165 Commerce Dr Ste B
Fayetteville, GA 30214-1376
Phone (770) 719-2500

National Provider Directory

National Provider Directory

Locations

165 Commerce Dr
Ste B
Fayetteville, GA 30214
Phone (770) 719-2500

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1902207186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 COMMERCE DR STE B",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141376",
            "telephone_number": "770-719-2500",
            "fax_number": "770-719-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 COMMERCE DR STE B",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141376",
            "telephone_number": "770-719-2500",
            "fax_number": "770-719-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR TREATMENT TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "404-914-0655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.