Azalea Medical Transport LLC

Organization Active NPI Ambulance · Gray, GA

NPI 1962273532 · NPPES record last updated Aug 27, 2026

Key facts

NPI
1962273532
Entity type
Organization (NPI type 2)
Primary specialty
Ambulance 341600000X
Legal business name
AZALEA MEDICAL TRANSPORT LLC
Practice address
247 Lana Dr
Gray, GA 31032-5883
Phone
(706) 621-3273
NPI assigned
Jan 12, 2024
Organization subpart
No

Authorized official

Name
Dr. Patrick Michael McGann, MD NPI 1215107842
Title
Owner
Phone
(614) 256-9732

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250417003407 GA Part B Supplier - Ambulance Service Supplier 7315462728 Practice locations: Winder, GA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Yes

Addresses

Primary practice location

247 Lana Dr
Gray, GA 31032-5883

Mailing address

PO Box 18537
Pleasant Hills, PA 15236-0537
Phone (800) 249-0544

Other practice location 1

700 Breedlove Dr Ste D
Monroe, GA 30655-2064
Phone (706) 799-8327

Other practice location 2

1380 Wylie Dr SE
Marietta, GA 30067-7536
Phone (706) 799-8380

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 27, 2026.

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1962273532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18537",
            "city": "PLEASANT HILLS",
            "state": "PA",
            "postal_code": "152360537",
            "telephone_number": "800-249-0544",
            "fax_number": "724-234-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 LANA DR",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310325883",
            "telephone_number": "706-621-3273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Breedlove Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "GA",
            "postal_code": "306552064",
            "country_code": "US",
            "telephone_number": "706-799-8327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 Wylie Dr SE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300677536",
            "country_code": "US",
            "telephone_number": "706-799-8380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AZALEA MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "MCGANN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-256-9732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, GA

All providers in Gray, GA · Ambulance in Georgia

Sources for this page

Verify at the official NPI Registry.