Active NPI
Gold Star Non-Emergency Medical Transportation LLC
- Non-emergency Medical Transport (VAN)
- Covington, GA
National Provider Identifier
1952186421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- GOLD STAR NON-EMERGENCY MEDICAL TRANSPORTATION LLC
- Practice address
- 95 Edinburgh LN
Covington, GA 30016-7825 - Phone
- (909) 587-3255
- NPI assigned
- Aug 31, 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
- Mr. Geddes Mohammed T Mohammed
- Title
- Organizer
- Phone
- (909) 587-3255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
95 Edinburgh LN
Covington, GA 30016-7825
Mailing address
95 Edinburgh LN
Covington, GA 30016-7825
Phone (909) 587-3255
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693440000000",
"number": "1952186421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 EDINBURGH LN",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300167825",
"telephone_number": "909-587-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 EDINBURGH LN",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300167825",
"telephone_number": "909-587-3255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLD STAR NON-EMERGENCY MEDICAL TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-31",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A",
"authorized_official_last_name": "MOHAMMED",
"authorized_official_first_name": "GEDDES MOHAMMED",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "ORGANIZER",
"authorized_official_telephone_number": "909-587-3255",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.