Organization Active NPI

Southwest Transport LLC

  • Driving and Community Mobility Occupational Therapist
  • McComb, MS
National Provider Identifier
1912799685
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Driving and Community Mobility Occupational TherapistTaxonomy code 225XR0403X
Legal business name
SOUTHWEST TRANSPORT LLC
Practice address
1014 24TH St
McComb, MS 39648-5325
Phone
(404) 573-9344
NPI assigned
May 20, 2025
Last updated
Jun 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Cedric Cebon Clark
Title
Manager
Phone
(404) 573-9344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driving and Community Mobility Occupational Therapist 225XR0403X NU Primary

Addresses

Primary practice location

1014 24TH St
McComb, MS 39648-5325

Mailing address

1014 24TH St
McComb, MS 39648-5325
Phone (404) 573-9344

National Provider Directory

National Provider Directory
Tax ID family
Southwest Transport LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1912799685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 24TH ST",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396485325",
            "telephone_number": "404-573-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 24TH ST",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396485325",
            "telephone_number": "404-573-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_middle_name": "CEBON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-573-9344"
    },
    "taxonomies": [
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.