Southern Care Medical Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTHERN CARE MEDICAL TRANSPORT LLC

Practice address

519 Forest Pkwy Ste 240
Forest Park, GA 30297-6113

Phone

(404) 934-3322

Fax

(678) 732-9238

NPI assigned

Jan 16, 2019

Last updated

Sep 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ezra Griffith

Title

Owner

Phone

(404) 934-3322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1912471699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 FOREST PKWY STE 240",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976113",
            "telephone_number": "404-934-3322",
            "fax_number": "678-732-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 FOREST PKWY STE 240",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976113",
            "telephone_number": "404-934-3322",
            "fax_number": "678-732-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CARE MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "EZRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-934-3322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Malik Smith, PHARM D
• South Atl Ortho & SPTS
• South Atlanta Joint & Rehab
• South Atlanta Mua Center, LLC
• South Atlanta Spine and Joint Center LLC
• Southern Crescent Family Practice, LLC
• Southside Medical Center, Inc (Southside Medical Center School Based Health Center at Huie Elementary School)
• Southside Medical Center, Inc (Southside Medical Center SBHC at Huie Elementary School)
• Southside Medical Center, Inc.
• Speak:Supporting People Emotionally and Kinesthetically LLC

• Land Ambulance in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.