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Agape Medical Transport Inc

Organization Active NPI Land Ambulance · Macon, GA

NPI 1912349200 · NPPES record last updated Jul 31, 2024

Key facts

NPI
1912349200
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
Legal business name
AGAPE MEDICAL TRANSPORT INC
Practice address
3706 Mercer University Dr Ste 32
Macon, GA 31204-4889
Phone
(478) 972-1891
Fax
(478) 254-2838
NPI assigned
Jul 27, 2013
Organization subpart
No

Authorized official

Name
Donnie Antonio Hammonds
Title
Owner
Phone
(478) 342-5784

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140505000350 GA Part B Supplier - Ambulance Service Supplier 6709019490 Practice locations: Macon, GA

National Provider Directory

Tax ID family
Agape Medical Transport Inc (2 organizations share this tax ID)

Locations

109 Pat Joiner Blvd
Byron, GA 31008
Phone (478) 972-1891

105 Patrol Rd
Forsyth, GA 31029
Phone (478) 972-1891

3706 Mercer University Dr
Ste 32
Macon, GA 31204
Phone (478) 972-1891

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Yes
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

3706 Mercer University Dr Ste 32
Macon, GA 31204-4889

Mailing address

4017 Liberty Estates Dr
Macon, GA 31216-6637

Other providers in Macon, GA

All providers in Macon, GA · Land Ambulance in Georgia

Sources for this page

Verify at the official NPI Registry.