Guardian Medical Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

060-77 Issued in GA

Legal business name

GUARDIAN MEDICAL TRANSPORT LLC

Practice address

500 Lanier Ave W
Unit 505
Fayetteville, GA 30214-7636

Phone

(678) 545-6189

Fax

(770) 461-9459

NPI assigned

May 5, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Paul Evans

Title

Owner/President

Phone

(678) 603-1637

Specialties & licenses 1

Addresses

Other names 1

• Guardian Medical Transport 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.

• Tryphena Pacitti, NP

  • Family Nurse Practitioner
  • Fayetteville, GA
  • NPI 1659666584
  NPD

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1942592142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424315011",
            "telephone_number": "270-824-8123",
            "fax_number": "270-824-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W",
            "address_2": "UNIT 505",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147636",
            "telephone_number": "678-545-6189",
            "fax_number": "770-461-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "678-603-1637",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "060-77",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Scott Gronka, M.D.
• David M Gryboski, M.D.
• Faith Louise Guadalupe, LCSW
• Guardian Angels Adult Living LLC
• Guardian Angels Private Homecare LLC
• Lila Guevara, DMD
• Guiding Care Services, LLC
• Ashlee Gullickson, M.A,CCC-SLP
• Danielle Beaulah Guthrie, FNP
• Heather Guyton, RRT

• Land Ambulance in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.