Active NPI
M&G Lewis Logistics LLC
- Non-emergency Medical Transport (VAN)
- McDonough, GA
National Provider Identifier
1902473093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- M&G LEWIS LOGISTICS LLC
- Practice address
- 1320 Lake Dow Rd
McDonough, GA 30252-3093 - Phone
- (770) 380-9732
- NPI assigned
- Jun 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Goldie Maria Lewis
- Title
- Owner
- Phone
- (770) 380-9732
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
1320 Lake Dow Rd
McDonough, GA 30252-3093
Mailing address
1320 Lake Dow Rd
McDonough, GA 30252-3093
Phone (770) 380-9732
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Stone Mountain, GA
- NPI 1639737893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623024000000",
"number": "1902473093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 LAKE DOW RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302523093",
"telephone_number": "770-380-9732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 LAKE DOW RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302523093",
"telephone_number": "770-380-9732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M&G LEWIS LOGISTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-07",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "GOLDIE",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-380-9732",
"authorized_official_name_prefix": "Mrs."
},
"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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- Joel Maddox II
- Tajamyah Maddox
- Carrie L Madej, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.