Active NPI
Bloodstone and Pearl Transportation, LLC
- Non-emergency Medical Transport (VAN)
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- BLOODSTONE AND PEARL TRANSPORTATION, LLC
- Practice address
- 1315 Milstead Rd NE Ste 101
Conyers, GA 30012-3824 - Phone
- (470) 545-0860
- NPI assigned
- Aug 17, 2020
- Last updated
- Apr 17, 2023
- 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
- Ella Michelle Stephenson, RN
- Title
- Administrator
- Phone
- (470) 545-0860
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | |||
| Secured Medical Transport (VAN) | 343800000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary | ||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
1315 Milstead Rd NE Ste 101
Conyers, GA 30012-3824
Mailing address
7002 Annie Walk
Lithonia, GA 30038-4675
Phone (470) 545-0860
Other practice location 1
1320 Main St Ste 300
Columbia, SC 29201-3266
Phone (803) 724-1391
Other practice location 2
445 Dexter Ave
Montgomery, AL 36104-3775
Phone (334) 557-7042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003217560G | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
445 Dexter Ave
Montgomery, AL 36104
Phone (334) 557-7042
Practitioners & affiliated clinicians
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.
-
- Administrator Registered Nurse
- Conyers, GA
- NPI 1346734217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681689600000",
"number": "1922610476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7002 ANNIE WALK",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300384675",
"telephone_number": "470-545-0860",
"fax_number": "470-300-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 MILSTEAD RD NE STE 101",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123824",
"telephone_number": "470-545-0860"
}
],
"practiceLocations": [
{
"address_1": "1320 Main St Ste 300",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292013266",
"country_code": "US",
"telephone_number": "803-724-1391",
"fax_number": "470-300-7778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "445 Dexter Ave",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361043775",
"country_code": "US",
"telephone_number": "334-557-7042",
"fax_number": "470-300-7778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BLOODSTONE AND PEARL TRANSPORTATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-17",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A",
"authorized_official_last_name": "STEPHENSON",
"authorized_official_first_name": "ELLA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "470-545-0860",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
},
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003217560G",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.