McGill Medical Transport

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MCGILL MEDICAL TRANSPORT

Practice address

335 N. Tom Gasque Ave.
Marion, SC 29571

Phone

(843) 289-5078

Fax

(843) 289-5094

NPI assigned

Nov 29, 2021

Last updated

Nov 29, 2021By 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. Jackie Fitzgerald McGill Sr.

Title

Owner/Director

Phone

(843) 245-7974

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1922765775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1467",
            "city": "MARION",
            "state": "SC",
            "postal_code": "29571",
            "telephone_number": "848-289-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 N. TOM GASQUE AVE.",
            "city": "MARION",
            "state": "SC",
            "postal_code": "29571",
            "telephone_number": "843-289-5078",
            "fax_number": "843-289-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGILL MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "FITZGERALD",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "843-245-7974",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel J. Mason, ED.D.
• Charles William MC Rae, M.D.
• Tiffany Antionette McBride
• Natalie McDaniel, M.S.
• Davet McFadden, MASTER
• Breian McKoy Lee
• Martha Brittney McMillan, MSP, CCC-SLP
• Antonio McRae
• Chree McRae, RN
• Med-Alliance Transport

• Land Ambulance in Marion, SC
• Providers in Marion, 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 Nov 29, 2021; 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.

Verify at the official NPI Registry.