Organization Active NPI

Agape Medical Transport Inc

  • Land Ambulance
  • Macon, GA
National Provider Identifier
1912349200
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 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
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

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

National Provider Directory

National Provider Directory
Tax ID family
Agape Medical Transport Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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

NPI Registry JSON

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

{
    "created_epoch": "1374883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1912349200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 LIBERTY ESTATES DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312166637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 MERCER UNIVERSITY DR STE 32",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312044889",
            "telephone_number": "478-972-1891",
            "fax_number": "478-254-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE MEDICAL TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-27",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "HAMMONDS",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-342-5784"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.