Med Atlantic Medical Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MED ATLANTIC MEDICAL TRANSPORT LLC

Doing business as

Med Atlantic LLC

Practice address

621 Pearl St
Darlington, SC 29532-3841

Phone

(843) 615-2122

Fax

(843) 944-0511

NPI assigned

Mar 25, 2025

Last updated

Mar 25, 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. Justin Rashawn MackNPI 1063041143

Title

Owner

Phone

(843) 615-2122

Specialties & licenses 1

Addresses

Other names 1

• Med Atlantic LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Mack

  • Home Health Agency
  • Florence, SC
  • NPI 1063041143
  NPD Authorized official

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1912709650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 PEARL ST",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323841",
            "telephone_number": "843-615-2122",
            "fax_number": "843-944-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 PEARL ST",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323841",
            "telephone_number": "843-615-2122",
            "fax_number": "843-944-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED ATLANTIC MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "RASHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-615-2122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Atlantic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• McLeod Regional Medical Center of the Pee Dee, Inc (McLeod Behavioral Health)
• McLeod Regional Medical Center of the Pee Dee, Inc. (McLeod Family Medicine - Darlington)
• McLeod Regional Medical Center of the Pee Dee, Inc. (McLeod Medical Center - Darlington)
• Sentrella McPhail
• Jackson Lane McRae, RN, BSN
• Med Center Pharmacy & Medical Supply LLC (Med Center LTC Pharmacy)
• Med Center Pharmacy & Medical Supply LLC
• Med-Center Pharmacy & Medical Supply LLC (Medical Center Pharmacy and Medical Supply)
• Medford Nursing Center LLC
• Medic of South Carolina, LLC

• Land Ambulance in Darlington, SC
• Providers in Darlington, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.