Active NPI
Tandem Transport, LLC
- Land Ambulance
- Greenville, SC
National Provider Identifier
1912499468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TANDEM TRANSPORT, LLC
- Practice address
- 1315 Grove Rd
Greenville, SC 29605-4717 - Phone
- (864) 284-6000
- NPI assigned
- May 31, 2018
- 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
- Kristy Ruff
- Title
- Partner
- Phone
- (864) 616-9504
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X | SC |
Addresses
Primary practice location
1315 Grove Rd
Greenville, SC 29605-4717
Mailing address
1315 Grove Rd
Greenville, SC 29605-4717
Phone (864) 284-6000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Greenville | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190124002434 | SC | Part B Supplier - Ambulance Service Supplier | 5092052316 | Practice locations: Greenville, SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1912499468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 GROVE RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054717",
"telephone_number": "864-284-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 GROVE RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054717",
"telephone_number": "864-284-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TANDEM TRANSPORT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-31",
"last_updated": "2024-03-14",
"certification_date": "2024-01-12",
"status": "A",
"authorized_official_last_name": "RUFF",
"authorized_official_first_name": "KRISTY",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "864-616-9504"
},
"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": "SC",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Greenville",
"affiliation": "N",
"endpointDescription": "Office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1315 Grove Rd",
"city": "Greenville",
"state": "SC",
"country_code": "US",
"postal_code": "296054717",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.