Organization Active NPI

Gold Star Non-Emergency Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Covington, GA
National Provider Identifier
1952186421
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Aug 31, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.