Active NPI
Ja Transport
- Non-emergency Medical Transport (VAN)
- Blythewood, SC
National Provider Identifier
1942174362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- JA TRANSPORT
- Practice address
- 119 Deer Creek Dr
Blythewood, SC 29016-7105 - Phone
- (916) 889-1992
- NPI assigned
- Sep 30, 2025
- 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
- Juline Averette
- Title
- Ceo
- Phone
- (916) 889-1992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
119 Deer Creek Dr
Blythewood, SC 29016-7105
Mailing address
119 Deer Creek Dr
Blythewood, SC 29016-7105
Phone (916) 889-1992
Other practice location 1
116 Frasier Fir Ln
Columbia, SC 29229-9372
Phone (855) 384-5529
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759190400000",
"number": "1942174362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 DEER CREEK DR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290167105",
"telephone_number": "916-889-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 DEER CREEK DR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290167105",
"telephone_number": "916-889-1992"
}
],
"practiceLocations": [
{
"address_1": "116 Frasier Fir Ln",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292299372",
"country_code": "US",
"telephone_number": "855-384-5529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JA TRANSPORT",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-30",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A",
"authorized_official_last_name": "AVERETTE",
"authorized_official_first_name": "JULINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-889-1992"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blythewood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.